Penetrating head injury by stones: a case series and review of the literature based on the type of injury | ||
| Pan Arab Journal of Neurosurgery | ||
| Article 6, Volume 18, Issue 2, December 2023, Pages 123-129 PDF (1007.66 K) | ||
| Document Type: Original Articles | ||
| DOI: 10.21608/pajn.2023.222385.1097 | ||
| Authors | ||
| amit kumar thotakura* 1; kiran chand velivela2; nageswara rao marabathina3 | ||
| 1Dept of Neurosurgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India | ||
| 2department of neurosurgery, NRI Academy of Sciences, Guntur | ||
| 3department of Neurosurgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India | ||
| Abstract | ||
| Background: Low velocity penetrating head injury (PHI) is uncommon. PHI due to a stone is rare and we report a case series with a systematic review of the literature. Methods: We included 4 patients from this series and 21 patients from the literature review. They are grouped into 7 patients of type I injury and 18 patients of type II injury based on the mode of injury. Type I injury is when the stone hits the head and type II injury is when the head falls on the stone and gets injured. Results: The mean age was 22.6 years and 84% were males in the total 25 patients. The commonest cause of injury was road traffic accident (40%) and the commonest site of injury was the frontal region (60%). There was a statistically significant difference noted in the clinical grade (GCS) and outcome (p=0.03) between the two groups. Conclusions: From the review of the literature, two types of PHI by stones can be concluded. Type I injuries were less common, more severe in the coma scale, injury grade, and had poor outcome compared to type II injuries. | ||
| Keywords | ||
| Penetrating head injury; low velocity penetrating head injury; grading of head injury; penetrating craniocerebral injury; head injury by stones | ||
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