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- Title
Penetrating head injury caused by a screwdriver. A case report.
- Authors
Ilić, Jovan; Nikolov, Vesna; Djordjević, Marija; Kostić, Aleksandar; Stojanović, Miloš
- Abstract
Background: Penetrating head injuries (PHI) caused by sharp objects are associated with a high risk of potentially life-threatening complications and are estimated to account for approximately 0.4% of all head injuries. Since not many cases of PHI with a screwdriver have been described in the literature, the treatment of these patients is quite controversial and non-standardized. Therefore, the aim of this paper was to present our experience with treating a patient with a PHI caused by a screwdriver. Case description: The authors present a three-year-old female patient who accidentally sustained a PHI with a screwdriver through the right orbit. A computed tomography scan of the head was performed, which demonstrated the presence of the metal end of a screwdriver in the anterior cranial fossa. The patient underwent emergency surgery and the foreign body was evacuated with the repair of dura and brain injury. The intervention was followed by a complete postoperative recovery without any gross neurological deficits. Follow-up examinations were performed up to three years after the injury, while the patient's condition remained unchanged. Our patient's case supports immediate neurosurgical intervention and removal of a foreign object from the endocranium.
- Subjects
HEAD injuries; FOREIGN bodies; SCREWDRIVERS; NEUROSURGERY; BRAIN injuries; SURGICAL emergencies
- Publication
Romanian Neurosurgery, 2022, Vol 36, Issue 4, p456
- ISSN
1220-8841
- Publication type
Article
- DOI
10.33962/roneuro-2022-082