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A case of transpetrosal penetrating head injury near the sigmoid sinus

BACKGROUND: Penetrating brain injury is relatively rare, which occurs in 0.4% of all head trauma. In past reports, the orbit, nasal cavity, and oral cavity are the most common routes of entry of foreign substances into the skull. In this case report, we experienced a rare case of head trauma who inj...

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Autores principales: Kawai, Nobuhiko, Yabuno, Satoru, Hirashita, Koji, Yoshino, Kimihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492425/
https://www.ncbi.nlm.nih.gov/pubmed/34621583
http://dx.doi.org/10.25259/SNI_503_2020
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author Kawai, Nobuhiko
Yabuno, Satoru
Hirashita, Koji
Yoshino, Kimihiro
author_facet Kawai, Nobuhiko
Yabuno, Satoru
Hirashita, Koji
Yoshino, Kimihiro
author_sort Kawai, Nobuhiko
collection PubMed
description BACKGROUND: Penetrating brain injury is relatively rare, which occurs in 0.4% of all head trauma. In past reports, the orbit, nasal cavity, and oral cavity are the most common routes of entry of foreign substances into the skull. In this case report, we experienced a rare case of head trauma who injury through the petrosal bone. To the best of our knowledge, there is no similar literature. CASE DESCRIPTION: A 69-year-old man accidentally fell from a stepladder with a height of 3 m. There was a sprinkler on the ground, and it went through his posterior part of the right auricle at the collision. He was alert on admission. However, neurological examination showed right trigeminal, abducens, and facial nerve palsy. Computed tomography was performed, and it revealed that the objects penetrated the petrosal bone. Furthermore, it caused traumatic subarachnoid hemorrhage and acute subdural hemorrhage. Fortunately, it did not reach any cerebral artery and cerebral parenchyma. Immediately it was surgically removed with a good outcome. CONCLUSION: When suspected sigmoid sinus injury in head penetrating injury, craniotomy should be considered with bleeding from the sigmoid sinus during surgery.
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spelling pubmed-84924252021-10-06 A case of transpetrosal penetrating head injury near the sigmoid sinus Kawai, Nobuhiko Yabuno, Satoru Hirashita, Koji Yoshino, Kimihiro Surg Neurol Int Case Report BACKGROUND: Penetrating brain injury is relatively rare, which occurs in 0.4% of all head trauma. In past reports, the orbit, nasal cavity, and oral cavity are the most common routes of entry of foreign substances into the skull. In this case report, we experienced a rare case of head trauma who injury through the petrosal bone. To the best of our knowledge, there is no similar literature. CASE DESCRIPTION: A 69-year-old man accidentally fell from a stepladder with a height of 3 m. There was a sprinkler on the ground, and it went through his posterior part of the right auricle at the collision. He was alert on admission. However, neurological examination showed right trigeminal, abducens, and facial nerve palsy. Computed tomography was performed, and it revealed that the objects penetrated the petrosal bone. Furthermore, it caused traumatic subarachnoid hemorrhage and acute subdural hemorrhage. Fortunately, it did not reach any cerebral artery and cerebral parenchyma. Immediately it was surgically removed with a good outcome. CONCLUSION: When suspected sigmoid sinus injury in head penetrating injury, craniotomy should be considered with bleeding from the sigmoid sinus during surgery. Scientific Scholar 2021-09-20 /pmc/articles/PMC8492425/ /pubmed/34621583 http://dx.doi.org/10.25259/SNI_503_2020 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kawai, Nobuhiko
Yabuno, Satoru
Hirashita, Koji
Yoshino, Kimihiro
A case of transpetrosal penetrating head injury near the sigmoid sinus
title A case of transpetrosal penetrating head injury near the sigmoid sinus
title_full A case of transpetrosal penetrating head injury near the sigmoid sinus
title_fullStr A case of transpetrosal penetrating head injury near the sigmoid sinus
title_full_unstemmed A case of transpetrosal penetrating head injury near the sigmoid sinus
title_short A case of transpetrosal penetrating head injury near the sigmoid sinus
title_sort case of transpetrosal penetrating head injury near the sigmoid sinus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8492425/
https://www.ncbi.nlm.nih.gov/pubmed/34621583
http://dx.doi.org/10.25259/SNI_503_2020
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