[Unusual open craniocerebral injury caused by sickle's tip].
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.
Tudor
Mario
M
Department of Neurosurgery, Split University Hospital Center, Split, Croatia. mario.tudor1@st.t-com.hr
Tudor
Lorainne
L
Tudor
Katarina Ivana
KI
Buca
Ante
A
Cambi-Sapunar
Liana
L
Carija
Robert
R
Dujmović
Davor
D
D002648:Child; D005260:Female; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011859:Radiography; D014951:Wounds, Stab / Q000000981:diagnostic imaging / Q000209:etiology*