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An unusual case of penetrating intracranial injury due to scissors
Bülent Eren1, Selçuk Cetin, Nursel Türkmen
1Bursa Morgue Department, Council of Forensic Medicine of Turkey, Bursa, Turkey. drbulenteren@gmail.com
Insights
A rare case of a 10-year-old boy with a penetrating head injury from scissors is presented. This non-missile craniocerebral injury highlights the importance of prompt medical evaluation for foreign body removal.
Area of Science:
- Neurology
- Trauma Surgery
- Pediatric Neurosurgery
Background:
- Craniocerebral penetrating injuries from non-missile metallic foreign bodies are infrequent.
- Such incidents pose unique diagnostic and management challenges, particularly in pediatric cases.
Observation:
- A healthy 10-year-old boy sustained an accidental penetrating head injury with scissors.
- The foreign body was lodged in the left parietal region, penetrating the cranial cavity without causing loss of consciousness or vital sign abnormalities.
Findings:
- Radiological imaging confirmed a hyperdense foreign body (scissors) within the cranial cavity, nearing the left parietal lobe.
- This represents a rare instance of an intracranial penetrating scissor injury that remained in situ until hospital arrival.
Implications:
- This case underscores the need for thorough medico-legal evaluation in penetrating head trauma.
- Prompt surgical intervention is crucial for managing intracranial foreign bodies to prevent complications.
Abstract:
Craniocerebral penetrating non-missile injuries caused by metallic foreign bodies are uncommon events. Healthy 10 year-old boy applied to the hospital emergency service with his parents. Family members stated that the scissors have been stalled his head accidentally by his sister when they had played together. During physical examination the scissors located on left parietal region of the head was examined. There was no loss of consciousness and oriented with normal vital signs. Radiological investigation demonstrated a hyper dense foreign body (scissors) penetrating cranial cavity and ended before reaching posterior region of the left parietal lobe. To our knowledge, the presented was rare case of intracranial penetrating scissor, which was not removed until, injured, reached the hospital. Our goal was to discuss the rare case of penetrating non-missile foreign body cranial injury from medico legal aspect.
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