Unusual Transoral Penetrating Injury of the Foramen Magnum: Case Report

Bartholomew, Bradley J.; Poole, Charla N.; Tayag, Emilio C

doi:10.1227/01.neu.0000084081.61681.8b

Cited by 12 publications

(12 citation statements)

References 15 publications

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“…Previous patients with transoral stab wounds penetrating the craniovertebral junction underwent closed surgery to remove the foreign bodies, with no resultant cerebrospinal fluid leakage or infection. 2,16) However, in our case, CT did not show the precise location of the chopstick in the spine, so injury to the Neurol Med Chir (Tokyo) 47, July, 2007…”

Section: Discussionmentioning

confidence: 60%

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Penetrating Injury of the Upper Cervical Spine by a Chopstick -Case Report-

Yamaguchi

Eguchi

Takeda

et al. 2007

Neurol. Med. Chir.(Tokyo)

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A 35-year-old man presented with penetrating spinal injury after attempting suicide by stabbing a wooden chopstick into his mouth. The object penetrated the pharynx, and the tip entered the spinal canal of the atlantoaxial vertebrae. Emergent surgery disclosed that the tip of the chopstick had penetrated between the dural sac and the vertebral artery. There was no dural tear or vertebral artery injury. The foreign body was removed successfully from the oral side. He recovered without neurological sequelae.

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Section: Discussionmentioning

confidence: 60%

“…2) In our case, special instruments, such as a Davis retractor, were not available in the emergent situation. Moreover, the patient was placed in the prone position.…”

Section: Discussionmentioning

confidence: 80%

Penetrating Injury of the Upper Cervical Spine by a Chopstick -Case Report-

Yamaguchi

Eguchi

Takeda

et al. 2007

Neurol. Med. Chir.(Tokyo)

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“…PHT caused by non-missile, low-velocity objects represents a rare pathology among civilians, with better outcome because of more localized primary injury, and is usually caused by violence, accidents, or even suicide attempts [ 3 ]. Optimum management of PBI requires a good understanding of the mechanism of injury and its pathophysiology [ 9 ]. As most of the PHTs are caused by missiles or projectiles, an understanding of ballistics is imperative.…”

Section: Discussionmentioning

confidence: 99%

Penetrating head trauma: 03 rare cases and literature review

Fahde¹,

Laghmari²,

Skoumi³

2017

Pan Afr Med J

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Penetrating head trauma (PHT) include all open head injuries with foreign object in the brain. Although less common than closed head trauma, penetrating head trauma carry a worse prognosis. We received three unusual cases of penetrating head injuries whose prognosis was different according to clinical presentation and initial management of the patient. Treatment of penetrating head trauma aims at controlling bleeding, controlling intracranial pressure and preventing infections. Despite the efforts made by national authorities as well as the adequate management in hospitals, penetrating head injuries are still frequent with significant mortality and morbidity.

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“…[1] The goals of treatment are removal of the foreign body for decompression, debridement to prevent and treat infection, prevention of vascular injury to all possible extents, and achieving hemostasis for repair of the dura for prevention of CSF leaks. [2] Our patient received a multidisciplinary surgical intervention resulting in good recovery.…”

Section: Discussionmentioning

confidence: 99%

A shocking craniofacial penetrating injury by a steel bar

Chen

Yao

Dai

et al. 2014

Ulus Travma Acil Cerrahi Derg

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Owing to the diversity in cause and damage, there is no standard surgical treatment method for a complicated penetrating craniofacial injury. The treatment of a complicated penetrating head injury caused by a steel bar is presented here. A 66-year-old woman fell onto a steel bar at a construction site and it penetrated the mandible, entered the sinus and orbital cavities, and reached the base of the frontal bone. A multi-disciplinary team including a neurosurgeon, otolaryngologist, and plastic surgeon was involved in removing the steel bar. The patient survived without sequelae except for blindness in the right eye. Despite the lack of standardized surgical treatment for a complicated penetrating craniofacial injury, aggressive treatment by a multidisciplinary team can result in good outcomes.

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Unusual Transoral Penetrating Injury of the Foramen Magnum: Case Report

Cited by 12 publications

References 15 publications

Penetrating Injury of the Upper Cervical Spine by a Chopstick -Case Report-

Penetrating Injury of the Upper Cervical Spine by a Chopstick -Case Report-

Penetrating head trauma: 03 rare cases and literature review

A shocking craniofacial penetrating injury by a steel bar

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