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

Research output: Contribution to journalArticlepeer-review

Abstract

Background 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. Case Description 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. Conclusions The rationale for management decisions is reviewed in the context of the published literature.

Original languageEnglish (US)
Pages (from-to)65-70
Number of pages6
JournalWorld neurosurgery
Volume110
DOIs
StatePublished - Feb 2018

Keywords

  • Multidisciplinary team
  • Penetrating skull injury
  • Traumatic brain injury

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