title: Occupational head injury and subsequent glioma.
abstract: We report the case of a policeman who suffered a severe head injury to the right temporoparietal lobe while driving a police car. Four years later, the patient developed a neoplasm at the precise site of the meningocerebral scar. Histological examination confirmed a glioblastoma multiforme adjacent to the dural scar. Radiological documentation of the absence of tumor at the time of injury, exact localization of the neoplasm in the injured cerebral area, and latency of the cancer supported the hypothesis of a causal relationship with brain trauma. Physicians faced with brain neoplasms in adults should carefully investigate the patient's personal history of head trauma. When a relationship with occupational head injury is probable, reporting of suspect occupational illness is compelling.
authors.affiliation: Institute of Occupational Medicine, Catholic University School of Medicine, Rome, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Magnavita
authors.forename: R A
authors.initials: RA
authors.lastname: Placentino
authors.forename: D
authors.initials: D
authors.lastname: Mei
authors.forename: D
authors.initials: D
authors.lastname: Ferraro
authors.forename: G
authors.initials: G
authors.lastname: Di Trapani
mesh_terms: D000062:Accidents, Occupational; D000063:Accidents, Traffic; D000328:Adult; D001932:Brain Neoplasms / Q000209:etiology* / Q000473:pathology; D006259:Craniocerebral Trauma / Q000150:complications* / Q000473:pathology; D005909:Glioblastoma / Q000209:etiology* / Q000473:pathology; D005910:Glioma / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D016495:Police