Abstract
A 40-year-old male patient presented to us with a history of road traffic accident,
followed by loss of consciousness and vomiting. Noncontrast computed tomography (NCCT)
scan revealed frontal bone defect along with multiple “mosaic pattern” homogenously
hyperdense foreign bodies of nearly similar size in the right frontoparietal region
within the extradural space. Debridement craniectomy was done, and multiple pieces
of glass were retrieved. The extremely unique radiologic finding and probably first
in the English literature prompted us to report this interesting case. Unfortunately,
the patient died of myocardial infarction 3 days after the injury. Further, this new
“mosaic pattern” radiologic finding on NCCT of the head may help in determining the
mechanism of injury due to tempered glass-related head trauma. Window glass may not
be always safe as it is thought by commuters.
Keywords
mosaic - penetrating - tempered glass
