Citation

Tudor M, Tudor L, Tudor KI, Buca A, Cambi-Sapunar L, Carija R, Dujmović D. Acta Med. Croatica 2008; 62(1): 85-88.

Vernacular Title

Neobicna otvorena kraniocerebralna ozljeda zetelackim srpom.

Affiliation

Department of Neurosurgery, Split University Hospital Center, Split, Croatia. mario.tudor1@st.t-com.hr

Copyright

(Copyright © 2008, Croatian Academy of Medical Sciences)

DOI

unavailable

PMID

18365507

Abstract

A nine years old girl suffered an unusual penetrating injury to the head caused by a sickle's tip sticked into the skull bones during a lavender harvest on island of Hvar. GCS score was 15. A sickle's blade and its handle were clearly seen coming out of the frontal bone, hanging free, while its tip was firmly sitting in the skull bones! After a neuroradiological diagnostical work up (skull x rays and CT scans) that confirmed intracranial penetration she was operated as an emergency. An osteoclastic craniotomy was done, a and a sickle thereafter easily extracted. Lacerated and contused brain and the penetrating canal were debrided and dura defect covered with a patch. Broad spectrum antibiotics were administered after antitetanic prophylaxis. Postoperative course was uneventful especially regarding infection. One year after the accident she goes normaly to school.

Language: hr