title: A transnasal intracranial stab wound by a plastic-covered umbrella tip.
abstract: A 48-year-old man died from a transnasal intracranial stab wound caused by an umbrella. The track of the stab passed from the right nostril, through the sphenoid sinus, the left side of the sella turcica and anterior clinoid process, and finally reached the surface of the brain. The stab wound crossed the left internal carotid artery, causing an exsanguination and aspiration of blood into the airway, resulting in death. It is extremely rare that an umbrella tip used during a struggle would stab the nostril of the victim. Transnasal intracranial stab wounds can be overlooked and require sensitive handling.
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, University of the Ryukyus, Japan. makino@med.u-ryukyu.ac.jp
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ihama
authors.forename: Takumi
authors.initials: T
authors.lastname: Nagai
authors.forename: Kenji
authors.initials: K
authors.lastname: Ninomiya
authors.forename: Maki
authors.initials: M
authors.lastname: Fukasawa
authors.forename: Chiaki
authors.initials: C
authors.lastname: Fuke
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Miyazaki
mesh_terms: D004388:Dura Mater / Q000293:injuries / Q000473:pathology; D058734:Exsanguination; D049429:Forensic Pathology; D020197:Head Injuries, Penetrating / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000293:injuries* / Q000473:pathology*; D053120:Respiratory Aspiration / Q000473:pathology; D012658:Sella Turcica / Q000293:injuries / Q000473:pathology; D013101:Sphenoid Sinus / Q000293:injuries / Q000473:pathology; D014951:Wounds, Stab / Q000209:etiology / Q000473:pathology*