Management of Through-and-Through Penetrating Skull Injury: A Railroad Spike That Transgressed the Anterior Skull Base

Reid Hoshide; Jeffrey Steinberg; Arvin Wali; Audrey Ko; J. Scott Pannell; Clark C Chen

doi:10.1016/j.wneu.2017.09.152

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Management of Through-and-Through Penetrating Skull Injury: A Railroad Spike That Transgressed the Anterior Skull Base

Journal article

Peer reviewed

Management of Through-and-Through Penetrating Skull Injury: A Railroad Spike That Transgressed the Anterior Skull Base

Reid Hoshide, Jeffrey Steinberg, Arvin Wali, Audrey Ko, J. Scott Pannell and Clark C Chen

World neurosurgery, Vol.110, pp.65-70

02/2018

DOI: 10.1016/j.wneu.2017.09.152

PMID: 29038084

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Abstract

Penetrating injuries involving foreign objects that transgress the entirety of the human skull present challenges in the management of vascular injuries, infectious risk, cerebrospinal fluid leak, and cosmetic repair. Ultimately, effective management of these injuries requires a multidisciplinary team and judicious surgical planning. Here we present the treatment of a patient who experienced a penetrating injury from a railroad spike, with entry and exit points involving the left and right anterior aspects of the temporal fossa, respectively. The rationale for management decisions is reviewed in the context of the published literature.

Traumatic Brain Injury

Penetrating skull injury

Multidisciplinary team

Details

Title: Subtitle: Management of Through-and-Through Penetrating Skull Injury: A Railroad Spike That Transgressed the Anterior Skull Base
Creators: Reid Hoshide - Department of Surgery, Division of Neurosurgery, University of California – San Diego, San Diego, California, USA
Jeffrey Steinberg - Department of Surgery, Division of Neurosurgery, University of California – San Diego, San Diego, California, USA
Arvin Wali - Department of Surgery, Division of Neurosurgery, University of California – San Diego, San Diego, California, USA
Audrey Ko - Department of Ophthalmology, University of California – San Diego, San Diego, California, USA
J. Scott Pannell - Department of Surgery, Division of Neurosurgery, University of California – San Diego, San Diego, California, USA
Clark C Chen - Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA
Resource Type: Journal article
Publication Details: World neurosurgery, Vol.110, pp.65-70
Publisher: Elsevier Inc
DOI: 10.1016/j.wneu.2017.09.152
PMID: 29038084
ISSN: 1878-8750
eISSN: 1878-8769
Language: English
Date published: 02/2018
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984101606802771

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