@article{ref1,
title="Transnasal-transsphenoidal brain injury by a fencing foil: an unusual case report and brief literature review",
journal="Journal of sports medicine and physical fitness",
year="2017",
author="Özay, Rafet and Balkan, Mehmet S. and Tönge, Çağhan and Şekerci, Zeki",
volume="57",
number="11",
pages="1494-1498",
abstract="BACKGROUND: In this report, the authors present an unusual case of a 10-year-old child who suffered a severe headache and rhinorrhea that occurred as a result of fencing foil sports injury via transnasal-transsphenoidal (TNTS) pathway. <br><br>METHODS: Following to trauma, the child had shown neurological symptoms such a pupil dilatation, change in consciousness and mild hemiparesia. Imaging demonstrated destruction of bone structures including posterior wall of sphenoid sinus and anterosuperior part of sella turcica, and also a contusion at right thalamic region. For treatment of rhinorrhea lumbar drainage system (LDS) had planted in order to relieve cerebrospinal fluid (CSF) leakage. <br><br>RESULTS: After the treatment the patient had fully recovered without any need of further surgical intervention. CSF leakage had prevented and neurological symptoms were completely treated. <br><br>CONCLUSIONS: This case represents the first report of brain injury via TNTS pathway in a sports practice. Diagnosis, clinic follow-up and treatment options of this rare accidental sports injury are discussed.<p /> <p>Language: en</p>",
language="en",
issn="0022-4707",
doi="10.23736/S0022-4707.17.07133-X",
url="http://dx.doi.org/10.23736/S0022-4707.17.07133-X"
}