Foreign Body in the Posttraumatic Skull: Case Report

Year 2025, Volume: 7 Issue: 1, 35 - 37, 04.05.2025

Felemez Büdün , İbrahim Toker , Mükerrem Altuntaş , Serhat Koyuncu , Muhammed İslam Özer , Necmi Baykan

https://doi.org/10.55994/ejcc.1661983

Abstract

Head traumas with penetrating injuries are among the most common reasons for presentation to the emergency department. Penetrating injuries to the head with a foreign body may sometimes heal without sequelae or with mild sequelae, but sometimes may result in severe disability and even death.
A 28-year-old male patient was brought to the emergency department unconscious as a work accident. According to the anamnesis obtained from the patient's relatives, the patient was cutting with a spiral and lost control of the spiral device. In the CT imaging of the patient; a foreign body with a depth of 75 mm and a thickness of 20 mm and a shape of a quarter circle with a depth of 75 mm and a thickness of 20 mm, which disrupted the integrity of the lower wall of the orbit and extended to the right temporal lobe.
In this presentation, we tried to emphasize that mortality may be avoided with good care in patients who are predicted to have a high mortality rate in penetrating head trauma due to foreign body or bodies, which may be seen rarely.

Keywords

Head trauma, Penetrating injury, Foreign body

References

• 1. Bert F, Ouahes O, Lambert-Zechovsky N. Brain abscess due to Bacillus macerans following a penetrating periorbital injury. J Clin Microbiol. 1995;33:1950-3.
• 2. Fallon MJ, Plante DM, Brown LW. Wooden transnasal intracranial penetration: an unusual presentation. J Emerg Med. 1992;10:439-43.
• 3. Fujimoto S, Onuma T, Amagasa M, Okudaira Y. Three cases of intracranial wooden foreign body. No Shinkei Geka. 1987;15:751-6.
• 4. Hansen JE, Gudeman SK, Holgate RC, Saunders RA. Penetrating intracranial wood wounds: clinical limitations of computerized tomography. J Neurosurg. 1988;68:752-6.
• 5. Jooma R, Bradshaw JR, Coakham HB. Computed tomography in penetrating cranial injury by a wooden foreign body. Surg Neurol. 1984;21:236-8.
• 6. Markham JW, McCleve DE, Lynge HN. Penetrating craniocerebral injuries: report of two unusual cases. J Neurosurg. 1964;21:1095-7.
• 7. Di Roio C, Jourdan C, Mottolese C, Convert J, Artru F. Craniocerebral injury resulting from transorbital stick penetration in children. Pediatrics Child’s Nerv Syst. 2000;16:503-7.
• 8. Nakagawa A, Su CC, Yamashita Y, Endo T, Shirane R. A temporal head injury involving intracranial penetration by glass. No Shinkei Geka. 2002;30:529-33.
• 9. Reeves DL. Penetrating craniocerebral injuries: report of two unusual cases. J Neurosurg. 1965;23:204-5.
• 10. Alpaslan M, Özselçuk S. Analysis of patients consulted to the neurosurgery clinic from the emergency department and evaluation of mortality. HTD / HMJ. 2024;4(2):40-7.