What are penetrating head injuries?
● Penetrating head injuries are severe head injuries that cause the outer layer of the brain, the dura mater, to be penetrated.
Causes
● Penetrating head injuries are not caused by blunt force trauma.
● They are caused by violent events such as gunshots, knife stabbings, or bone fragments being forced into the brain from a fracturing skull.
Treatment
● These injuries have a poor prognosis.
● Expedient management of these injuries requires a good understanding of the mechanism of the injury and pathophysiology.
● Outcomes depend on immediate medical treatment.
References
Artsuvari. (2021). [Illustration]. Head of the Phineas Gage with penetrated iron rod. https://www.shutterstock.com/image-illustration/head-phineas-gage-penetrated-iron-rod-2024057723
Greve, J., Schuler, P. J., Mandapathil, M., Dominas, N., Veit, J., Bas, M., … Hoffmann, T. K. (2014). Penetrierende Verletzungen der Kopf-Hals-Region – Eine Potentiell Lebensbedrohliche Situation
[Penetrating injuries of the head and neck region – a potentially life-threatening situation]. Laryngo-
rhino- otologie, 93(10), 671–676. doi:10.1055/s-0034-1376974
Kazim, S. F., Shamim, M. S., Tahir, M. Z., Enam, S. A., & Waheed, S. (2011). Management of penetrating
brain injury. Journal of emergencies, trauma, and shock, 4(3), 395–402. doi:10.4103/0974-2700.83871
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