scholarly journals Penetrating knife injury to the frontal lobe – a case report

2010 ◽  
Vol 92 (6) ◽  
pp. e41-e42 ◽  
Author(s):  
Aakshay Gulati ◽  
Badri Srinivasan ◽  
Roger Hunter ◽  
Timothy R Flood
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Neurological Deficit ◽  
Cerebral Circulation ◽  
Penetrating Injuries ◽  
Stab Injury ◽  
Close Proximity ◽  
Cranial Fossa ◽  
Knife Injury ◽  
Orbital Region

Penetrating injuries of the craniofacial region are increasing and have the potential to cause severe vascular and neurological deficit. We present our management of a case with a knife stab injury to the infra-orbital region, traversing the orbit and penetrating into the anterior cranial fossa, the tip lying in close proximity to the anterior cerebral circulation.

scholarly journals A Case Report on Frontal Osteoma

Pulse ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 45-48
Author(s):  
MR Molla ◽  
F Ferdousi ◽  
DR Shankar ◽  
AKMB Karim
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Frontal Sinus ◽  
Clinical Findings ◽  
Complete Excision ◽  
Tumor Mass ◽  
The Right ◽  
Orbital Region

A 13 years old boy admitted with the complaint of progressive exophthalmos and gradually decreasing vision on right eye, also occasional headache and deformity on the right fronto-orbital region. Radiological & clinical findings revealed a case of frontal osteoma in the right frontal sinus extending up to right frontal lobe, eroding right roof of the orbit. Complete excision of the tumor mass was possible surgically. Biopsy confirmed a case of osteoma. Below is a discussion on diagnosis & management of frontal osteomaPulse Vol.9 January-December 2016 p.45-48

scholarly journals An Atypical Self-Inflicted Abdominal Stab Injury: A Case Report

2019 ◽  
Vol 2 (2) ◽  
pp. 63-65
Author(s):  
Arbin Shakya ◽  
Malshree Ranjitkar ◽  
Sampanna Pandey
Keyword(s):  
Case Report ◽  
Blood Vessels ◽  
Penetrating Injuries ◽  
Stab Injury ◽  
Sharp Force ◽  
Stab Injuries

When dealing with cases of sharp force penetrating injuries, survival of the victim depends on injury to major blood vessels or major organs resulting in internal or external hemorrhage. Stab with intention of homicide although common, self inflicted stab injuries are less reported. We present an unusual self inflicted stab injury over an abdomen extending from front to back of the abdomen over epi-gastric region by a 52 years old male who managed to survive as it missed all the major blood vessels and solid organs that lied in between. On observation of characteristics of the wound, we have made an attempt to opine that the incident was self- inflicted with suicidal intentions.

scholarly journals Transorbital Stab Injury with Retained Knife: A Narrow Escape

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Muhammad Asim Rana ◽  
Abdulrehman Alharthy ◽  
Waleed Tharwat Aletreby ◽  
Basim Huwait ◽  
Akhilesh Kulshrestha
Keyword(s):  
Brain Damage ◽  
Neurological Deficit ◽  
Late Complications ◽  
Interesting Aspect ◽  
Penetrating Injuries ◽  
Diagnostic Modality ◽  
Stab Injury ◽  
Narrow Escape ◽  
Key Aspects ◽  
Anatomical Area

Transorbital penetrating injuries are unusual but may cause severe brain damage if cranium is entered. These kinds of injuries are dangerous as the walls of orbit are very thin, hence easily broken by the otherwise innocent objects. Because of the very critical anatomical area involved, these injuries pose a serious challenge to the physicians who first receive them as well as the treating team. These may present as trivial trauma or may be occult and are often associated with serious complications and delayed sequel. Prompt evaluation by utilizing best diagnostic modality available and timely interference to remove them are the key aspects to avoid damage to vital organs surrounding the injury and to minimize the late complications. We report a case of transorbital assault with a 13 centimeter long knife which got broken from the handle and the blade was retained. The interesting aspect is that there was no neurological deficit on presentation or after removal.

scholarly journals Multiple foreign bodies in the facial region from a penetrating stab injury

2019 ◽  
Vol 12 (1) ◽  
pp. e228393
Author(s):  
Mabel Okiemute Etetafia
Keyword(s):  
Foreign Bodies ◽  
Glass Particle ◽  
The Other ◽  
Penetrating Injuries ◽  
Stab Injury ◽  
Facial Region ◽  
Hair Strand ◽  
The Right ◽  
Stab Injuries ◽  
Orbital Region

Penetrating injuries can lead to multiple retained foreign bodies. To present a case of a penetrating stab injury on to the right orbital region of a 37-year-old woman which resulted in lacerations on both eyelids, loss of vision in addition to the retention of glass particle and woven artificial hair strands at the anterior end of the floor of the orbit. The woven artificial hair strand, being flexible in nature, was apparently logged in by the penetrating force of the broken glass used as the stab injury object. Under local anaesthesia, a gentle intermittent pull on one hair strand led to the dislodgement of a piece of broken glass particle along with the other end of the hair strand. The resultant wound was repaired. Stab injuries can result in retained multiple foreign bodies. This possibility should be considered during assessment and management of facial injuries to avoid complications of retention.

scholarly journals Ethmoidal dural Arteriovenous Fistula- A case report

2020 ◽  
Vol 1 (1) ◽  
pp. 33-35
Author(s):  
Pankaj Raj Nepal ◽  
Karuna Tamrakar Karki ◽  
Dinesh Kumar Thapa
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Similar Case ◽  
Superior Sagittal Sinus ◽  
Rare Type ◽  
Arteriovenous Fistulas ◽  
Sagittal Sinus ◽  
Dural Arteriovenous Fistulas ◽  
Ethmoidal Artery ◽  
Cranial Fossa

Ethmoidal dural arteriovenous fistulas (dAVF) are a rare type of dAVF present in the anterior cranial fossa. There are usually fed by the ethmoidal artery and drains into superior sagittal sinus. Due to its high flow nature, they are considered a challenging case for surgery and usually present with frontal lobe hematoma or seizure. Here, is a similar case report of a 52-year-old gentleman who presented with sequel of frontal lobe hematoma and was managed surgically with clipping of feeder and excision of fistula.

Chronic Encapsulated Intracerebral Hematoma Associated with Cavernous Angioma: A Case Report

Neurosurgery ◽  
1990 ◽  
Vol 26 (4) ◽  
pp. 700-702 ◽  
Author(s):  
Shigeyuki Murakami ◽  
Masahiro Sotsu ◽  
Satoru Morooka ◽  
Takashi Suzuki
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Frontal Lobe ◽  
Neurological Deficit ◽  
Clinical Picture ◽  
Cavernous Angioma ◽  
Intracerebral Hematoma ◽  
Focal Neurological Deficit ◽  
Capsule Formation ◽  
Space Occupying Lesion

Abstract The case of a patient with a chronic encapsulated intracerebral hematoma associated with a cavernous angioma is reported. In spite of a huge space-occupying lesion in the frontal lobe, our patient showed no focal neurological deficit. The clinical picture suggested a slowly growing brain tumor. Intraoperative findings revealed a liquefied intracerebral hematoma with a thick capsule. Pathological investigations demonstrated a capsule rich in neovascularity with a cavernous angioma attached to it. It is presumed that initial bleeding from the cavernous angioma encouraged capsule formation similar to the membrane of chronic subdural hematomas and that repeated bleeding from the capillaries of the capsule allowed the expansion of the hematoma.

scholarly journals Thermal burns in electroconvulsive therapy

2021 ◽  
pp. 201010582110310
Author(s):  
Ernest Weisheng Ho ◽  
Eng Leonard ◽  
Lee Tih-Shih ◽  
Gregory James Meredith
Keyword(s):  
Case Report ◽  
Mood Disorders ◽  
Electroconvulsive Therapy ◽  
Ignition Source ◽  
Thermal Burns ◽  
High Impedance ◽  
Temporal Placement ◽  
Close Proximity ◽  
Life Threatening

Electroconvulsive therapy (ECT) is effective for mood disorders and schizophrenia. Thermal burns, while rare, are potentially sight and life threatening. The three elements necessary for a fire are often in close proximity during a session: an oxidiser (oxygen), an ignition source (faulty electrodes, poor contact with skin producing a spark) and fuel (hair, residual alcohol cleanser). This case report describes one such incident when a patient sustained a burn during ECT, with poor contact of electrode pad with skin, high impedance and an oxygen-rich environment possibly contributing. Given that ECT is conducted relatively frequently (once every 2–3 days) in a usual regimen, we make recommendations for safe application of electrode pads for temporal placement ECT.

scholarly journals Neurological determination of death in isolated brainstem lesions: A case report to highlight the issues involved

2019 ◽  
Vol 21 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Alex Manara ◽  
Panayiotis Varelas ◽  
Martin Smith
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Cerebral Circulation ◽  
Posterior Circulation ◽  
Determination Of Death ◽  
International Consensus ◽  
Brainstem Lesions ◽  
Posterior Cerebral Circulation ◽  
Isolated Brainstem

The neurological determination of death in patients with isolated brainstem lesions or by disruption of the posterior cerebral circulation is uncommon and many intensivists may never see such a case in their career. It is also the only major difference between the “whole brain” and “brain stem” formulations for the neurological determination of death. We present a case of a patient with infarction of the structures supplied by the posterior cerebral circulation in whom death was diagnosed using neurological criteria, to illustrate the issues involved. We also suggest that international consensus may be achieved if ancillary tests, such as CT angiography, are made mandatory in this situation o demonstrate loss of blood flow in the anterior cerebral circulation as well the posterior circulation.

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