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[Skullbase-penetrating injuries caused by umbrella tips: case reports]
M Tokitsu1, M Nakamura, H Yokoyama
1Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan.
No Shinkei Geka. Neurological Surgery
|February 1, 1990
Summary
Umbrella tips can cause severe skull base injuries, including brain trauma and nerve damage. Awareness of these risks is crucial to prevent potentially life-threatening incidents.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Ophthalmology
Background:
- Skull base penetration injuries are rare but can result from seemingly innocuous objects.
- Umbrella tips, due to their shape and common presence, pose a unique risk for penetrating head trauma.
Observation:
- Reported are two cases of skull base injuries from umbrella tips in young males.
- Case 1 involved a 24-year-old male with a traumatic brain injury, intracranial hemorrhage, and optic nerve laceration.
- Case 2 presented with CSF rhinorrhea, oculomotor palsy, and meningeal irritation.
Findings:
- Imaging revealed fractures of the planum sphenoidale and sella turcica, ethmoid sinus opacification, and pneumocephalus.
- Surgical intervention was required for Case 1 due to increased intracranial pressure and intracranial hemorrhage.
- Conservative therapy resolved symptoms in Case 2, highlighting varied injury severity.
Implications:
- The skull base's anatomical structure makes it vulnerable to penetration during orbital and periorbital injuries.
- Disturbances of consciousness in such cases are associated with a poor prognosis.
- Public awareness regarding the potential dangers of umbrella tip injuries is essential for prevention.