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Transoral penetrating craniocerebral injury: a case report and literature review.
Front Surg
November 2024
Department of Neurotraumatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
A penetrating brain injury is a rare type of neurosurgical trauma associated with extremely high mortality and disability rates. Penetrating skull base injuries caused by arrows seldom occur because injuries caused by such weapons are more likely to be accidental. However, the number of self-inflicted injuries is increasing, and these injuries have varying patterns and high mortality rates.
View Article and Find Full Text PDFFactors associated with decisions to refer possible abusive head trauma to a hospital-based child protection team in Aotearoa New Zealand.
Child Abuse Negl
December 2024
ReedNZ Ltd, Rotorua, New Zealand. Electronic address:
Article Synopsis
- Aotearoa New Zealand has a significant rate of abusive head trauma (AHT) among children, prompting the need for referrals to a specialized child protection team (CPT), but no prior research has explored what influences these referral decisions.
- The study analyzed data from children under 5 years old with head injuries from 2010 to 2019 to identify factors affecting the likelihood of being referred to the CPT.
- Results showed that various factors, like age under one, inconsistent injury histories, and social concerns, significantly influenced referral decisions, aligning with existing literature and resulting in a high model accuracy (AUROC of 0.95).
Transcranial-Penetrating Craniocerebral Injury Inflicted by a Nail Gun: A Technical Case Report.
Korean J Neurotrauma
September 2024
Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia.
Article Synopsis
- - A 28-year-old male suffered a rare penetrating brain injury from a nail gun accident, requiring immediate surgical intervention to prevent infection.
- - The patient underwent a craniotomy for the removal of the foreign object, with imaging used to accurately locate the injury and customize the surgical approach while minimizing damage to brain tissue.
- - Post-surgery, he received antibiotics and seizure medications, resulting in no neurological deficits or infections during follow-up, highlighting the effectiveness of prompt treatment in such unusual cases.
Gunshot Wounds to the Head: 29 Cases of Monocenter Children's Trauma Hospital Experience and Predictor Scales in Pediatric Population.
World Neurosurg
November 2024
Department of Pediatric Surgery, Moscow Regional Scientific Research Clinical Institute M.F. Vladimirsky, Moscow, Russia.
Objectives: Gunshot wounds to the head (GSWTH) in children remain an underexplored area, and all clinical guidelines extrapolated from adult experiences. A key challenge in treating these patients is age stratification, as pediatric survival rates are notably higher than in adults. The objective of the study is to compare 2 groups of patients based on the severity of their condition and to analyze the impact of various factors on the outcomes of these conditions.
View Article and Find Full Text PDFDeadly cerebral ischemia due to carotid stenosis following a facial shot with a pellet gun: An autopsy case report.
Tunis Med
August 2024
Emergency Department, Ibn El Jazzar University Hospital, Kairouan, Tunisia.
Introduction: Facial gunshot wounds have devastating functional and aesthetic consequences for the patient. If associated with penetrating craniocerebral injuries, the prognosis is rather compromised even with appropriate medical and surgical treatment. Chop-off injuries with penetrating wounds constitute a challenging situation for the facial reconstructive surgeon in facial trauma.
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