title: The Transcranial Stab Wound and the Life-Saving Zygomatic Arch Clinical Report.
abstract: A 58-year-old man presented to the neurosurgical emergencies for a transzygomatic transcranial stab wound with a retained broken knife. The patient was neurologically intact. After radiographic evaluation the knife was found to be penetrating the temporal lobe, neighboring the intracavernous portion of the carotid artery. The patient was successfully managed in a conservative way. No abnormalities were seen at 12 months of follow-up. Dealing with penetrating head injuries is a usual condition in neurosurgical practice. Some situations are though really challenging, especially when the offending object is still in place, with a close connection to vital structures. This clinical reports an unusual penetrating head injury, highlighting the importance of careful radiographic evaluation and trying to discuss clear management options.
authors.affiliation: *Department of Neurosurgery, ONO Hospital, Ibn Sina University Hospital Center †Department of Maxillofacial Surgery, ONO Hospital, Ibn Sina University Hospital Center ‡Department of Plastic Surgery, Mohammed Vth University, Rabat, Morocco..
authors.forename: Mohammed Yassaad
authors.initials: MY
authors.lastname: Oudrhiri
authors.forename: Adil
authors.initials: A
authors.lastname: Eabdenbi Tsen
authors.forename: Fatima-Ezzahra
authors.initials: FE
authors.lastname: Fouadi
authors.forename: Sidi Mamoun
authors.initials: SM
authors.lastname: Louraoui
authors.forename: Yasser
authors.initials: Y
authors.lastname: Arkha
authors.forename: Abdessamad
authors.initials: A
authors.lastname: El Ouahabi
mesh_terms: D020197:Head Injuries, Penetrating / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014951:Wounds, Stab / Q000175:diagnosis / Q000628:therapy*; D015050:Zygoma / Q000000981:diagnostic imaging / Q000293:injuries*