Transcranial Injury: Case Report.

Penetrating cranial injury is a potentially life-threatening condition. Shell and shrapnel fragments are the most common cause of high velocity penetrating head injuries. The pathophysiological consequences of penetrating head injuries depend on the kinetic energy and trajectory of the object. If th...

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Detalles Bibliográficos
Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 5; pp. 1496 - 1501
Autores principales: DEMIR, Özgür, DENIZ, Fatih Ersay, ÖKSÜZ, Erol, KILINÇ, Mehmet
Formato: case study diagnostic images pictorial Journal Article
Publicado: Turkiye Klinikleri Oct2012
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Penetrating cranial injury is a potentially life-threatening condition. Shell and shrapnel fragments are the most common cause of high velocity penetrating head injuries. The pathophysiological consequences of penetrating head injuries depend on the kinetic energy and trajectory of the object. If the velocity of the penetrating object is high enough, the object shape and sharpness is not very important for penetrance. We reported a case of transcranial injury caused by a broken wooden shovel handle. The Glasgow Coma Scale score of the patient was 4 in the emergency department. Wooden shovel handle had entered through the right maxillary region, penetrated the brain and come out of the skull through the right parietal bone. Surgery was planned according to the radiological studies. Expeditious removal of the foreign body was carried out by craniotomy. The patient died on postoperative day 3. A number of high velocity transcranial injuries have been reported in the literature, but to the best of our knowledge, there was no report on transcranial injury with a wooden shovel handle.