title: Penetrating head injury with bilateral eye avulsion due to Himalayan bear bite.
abstract: The Himalayan black bear (Ursus thibetanus or Selenarctos thibetanus), although an omnivore, is more carnivorous than its American counterpart. It is also more aggressive towards humans and is a threatened species because of the deforestation in the Himalayas. Furthermore, poverty, encroachment of the forest, extensive deforestation, lack of education and living near the forest are factors that increase the probability of such animal injuries. We report the case of a 35-year-old woman who suffered a severe penetrating head injury with scalp and bilateral eye avulsion, which was managed successfully.
authors.affiliation: Department of Neurosurgery, Neuro Hospital, Biratnagar, Nepal. dryamroka@yahoo.com
authors.forename: Yam B
authors.initials: YB
authors.lastname: Roka
authors.forename: Narayani
authors.initials: N
authors.lastname: Roka
authors.forename: Manzil
authors.initials: M
authors.lastname: Shrestha
authors.forename: Puspa R
authors.initials: PR
authors.lastname: Puri
authors.forename: Hari B
authors.initials: HB
authors.lastname: Adhikari
mesh_terms: D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D005131:Eye Injuries / Q000209:etiology*; D005260:Female; D020197:Head Injuries, Penetrating / Q000209:etiology*; D006801:Humans; D009104:Multiple Trauma / Q000209:etiology*; D009390:Nepal; D001503:Ursidae