title: Management of screwdriver-induced penetrating brain injury: a case report.
abstract: BACKGROUND
  Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.
  
  
  METHODS
  We presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.
  
  
  CONCLUSIONS
  In this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.
authors.affiliation: Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China.
authors.forename: Jia
authors.initials: J
authors.lastname: Shi
authors.affiliation: Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China.
authors.forename: Yumin
authors.initials: Y
authors.lastname: Mao
authors.affiliation: Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China.
authors.forename: Jiachao
authors.initials: J
authors.lastname: Cao
authors.affiliation: Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, 213003, China. 30468476@qq.com.
authors.forename: Bo
authors.initials: B
authors.lastname: Dong
mesh_terms: D020201:Brain Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003388:Cranial Fossa, Posterior / Q000293:injuries; D005260:Female; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D020206:Subarachnoid Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D015050:Zygoma / Q000293:injuries
keywords: Cranitomy; Penetrating brain injury; Right zygomatic bone; Screwdriver