Wartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case
Andrii Sirko,
Alex Valadka,
Rocco Armonda
et al.
Abstract:BACKGROUND
Transnasal transsphenoidal penetrating craniocerebral injury is very rare even in wartime. Cases with good outcomes are even less common.
OBSERVATIONS
A 20-year-old male sustained multiple fragment wounds to his head and face from a landmine explosion. One metal fragment entered his right nostril, traversed the nasal septum and anterior sphenoid sinus, and ricocheted superiorly off the clivus. The fragment then traveled almost to the surface of the left parietal lobe. Subsequently, under its own w… Show more
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