A case of impalement injury caused by an object penetrating from the face to the intracranium

DOI
  • Ogawa Futoshi
    Emergency and Critical Care Center, Kawaguchi Municipal Medical Center
  • Fujiki Yu
    Emergency and Critical Care Center, Kawaguchi Municipal Medical Center
  • Suzuki Go
    Emergency and Critical Care Center, Kawaguchi Municipal Medical Center
  • Naoe Yasutaka
    Emergency and Critical Care Center, Kawaguchi Municipal Medical Center

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Other Title
  • 顔面から頭蓋内まで穿通した杙創の1例

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Abstract

<p>An 89-year-old man found collapsed at home was transferred to our hospital. Initially, his consciousness level was JCS III-300 and vital signs, stable. Subcutaneous hematoma around the left eye and a 3-mm contusion in the left cheek were observed. Computed tomography (CT) revealed fronto-orbital fracture, brain hemorrhage with ventricular perforation, pneumocephalus, and brain contusion. He was treated conservatively, but died on hospital day 2. Imaging examinations, including CT, should be performed in all cases of head and face impalement injuries, irrespective of severity, to identify the entry route of foreign objects and diagnose organ injury.</p>

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