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BMC Surgery
Published in: BMC Surgery 1/2017

Open Access 01-12-2017 | Case report

Management of screwdriver-induced penetrating brain injury: a case report

Authors: Jia Shi, Yumin Mao, Jiachao Cao, Bo Dong

Published in: BMC Surgery | Issue 1/2017

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Abstract

Background

Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.

Case presentation

We presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.

Conclusions

In this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.
Literature
1.
Zyck S, Toshkezi G, Krishnamurthy S, Carter DA, Siddiqui A, Hazama A, Jayarao M, Chin L. Treatment of penetrating nonmissile traumatic brain injury. Case series and review of the literature. World Neurosurg. 2016;91:297-307.6.
2.
Mzimbiri JM, Li J, Bajawi MA, Lan S, Chen F, Liu J. Orbitocranial low-velocity penetrating injury: a personal experience, case series, review of the literature, and proposed management plan. World Neurosurg. 2016;87:26–34.CrossRefPubMed
3.
de Andrade AF, de Almeida AN, Muoio VM, Marino Jr R. Penetrating screwdriver injury to the brainstem. Case illustration. J Neurosurg. 2006;104(5):853.CrossRefPubMed
4.
Meena US, Kataria R, Sharma K, Sardana VR. Penetrating spinal cord injury with screwdriver in situ, leading to Brown-Sequard syndrome. J Neurosci Rural Pract. 2016;7(2):324–7.CrossRefPubMedPubMedCentral
5.
Bozzeto-Ambrosi P, Costa LF, Azevedo-Filho H. Penetrating screwdriver wound to the head. Arq Neuropsiquiatr. 2008;66(1):93–5.CrossRefPubMed
6.
Pavlidis P, Karakasi MV, Birbilis TA. Traumatic brain injury due to screwdriver assaults: literature review and case report. Am J Forensic Med Pathol. 2016;37(4):291–8.CrossRefPubMed
7.
Moussa WM, Abbas M. Management and outcome of low velocity penetrating head injury caused by impacted foreign bodies. Acta Neurochir (Wien). 2016;158(5):895–904.CrossRef
8.
Mzimbiri JM, Li J, Xia Y, Yuan J, Liu J, Liu Q. Surviving penetrating brainstem injury by bamboo sticks: rare case reports and a brief review of literature. Neurosurgery. 2016;78(5):E753–60.CrossRefPubMed
9.
Das JM, Chandra S, Prabhakar RB. Penetrating brain injury with a bike key: a case report. Ulus Travma Acil Cerrahi Derg. 2015;21(6):524–6.PubMed
10.
de Holanda LF, Pereira BJ, Holanda RR, Neto JT, de Holanda CV, Giudicissi Filho M, de Oliveira NR, de Oliveira JG. Neurosurgical management of nonmissile penetrating cranial lesions. World Neurosurg. 2016;90:420–9.CrossRefPubMed
11.
Ahmad FU, Suri A, Mahapatra AK. Fatal penetrating brainstem injury caused by bicycle brake handle. Pediatr Neurosurg. 2005;41:226–8.CrossRefPubMed
12.
Regunath K, Awang S, Siti SB, Premananda MR, Tan WM, Haron RH. Penetrating injury to the head: case reviews. Med J Malaysia. 2012;67(6):622–4.PubMed
13.
14.
Xu F, Li J, Sun S, Guo E, Hao S, Hou Z, Leung GK, Liu B. The surgical management of a penetrating orbitocranial injury with a bakelite foreign body reaching the brain stem. Brain Inj. 2013;27(7-8):951–6.CrossRefPubMed
Metadata
Title
Management of screwdriver-induced penetrating brain injury: a case report
Authors
Jia Shi
Yumin Mao
Jiachao Cao
Bo Dong
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-016-0195-5

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