CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2020; 17(02): 143-145
DOI: 10.1055/s-0040-1713319
Case Report

Double Beveling on Imaging: A Characteristic Feature of Entry and Exit Penetrating Injury Wound

Amit Agrawal
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
VA Kiran Kumar
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
NA Sai Kiran
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Bathalapalli Penchalaiah
1   Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Harsha Vinay
2   Department of Oral and Maxillofacial Surgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
› Institutsangaben

Abstract

Beveling of the calvarial bone is reported in firearm exit wounds and stabbing injuries in forensic literature. Beveling in entry wounds is rare. We report a case of a 27-year-old man who sustained a nonfatal penetrating craniofacial injury due to motorbike brake handle, and completely recovered after conservative management. We describe the characteristic inward as well outward beveling on imaging due the penetrating trajectory of the motorbike break handle.



Publikationsverlauf

Artikel online veröffentlicht:
20. August 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Quatrehomme G, Işcan MY. Bevelling in exit gunshot wounds in bones. Forensic Sci Int 1997; 89 (1-2) 93-101
  • 2 Delannoy Y, Colard T, Becart A, Tournel G, Gosset D, Hedouin V. Typical external skull beveling wound unlinked with a gunshot. Forensic Sci Int 2013; 226 (1-3) e4-e8
  • 3 Quatrehomme G, Işcan MY. Analysis of beveling in gunshot entrance wounds. Forensic Sci Int 1998; 93 (01) 45-60
  • 4 Baik SO, Uku JM, Sikirica M. A case of external beveling with an entrance gunshot wound to the skull made by a small caliber rifle bullet. Am J Forensic Med Pathol 1991; 12 (04) 334-336
  • 5 Gennarelli TA, Champion HR, Sacco WJ, Copes WS, Alves WM. Mortality of patients with head injury and extracranial injury treated in trauma centers. J Trauma 1989; 29 (09) 1193-1201, discussion 1201–1202
  • 6 Hayashi Y, Fujisawa H, Tohma Y, Yamashita J, Inaba H. Penetrating head injury caused by bear claws: case report. J Trauma 2003; 55 (06) 1178-1180
  • 7 Anderson SA, Story PG. Case study of an orbital screwdriver injury. J Ophthalmic Nurs Technol 1996; 15 (03) 103-104
  • 8 Evans RJ, Richmond JM. An unusual death due to screwdriver impalement: a case report. Am J Forensic Med Pathol 1996; 17 (01) 70-72
  • 9 Ishikawa E, Meguro K, Yanaka K. et al. Intracerebellar penetrating injury and abscess due to a wooden foreign body—case report. Neurol Med Chir (Tokyo) 2000; 40 (09) 458-462
  • 10 Srinivas S, Agrawal A, Sandeep Y, Shrikhande NN. Massive penetrating craniofacial trauma due to polyvinyl chloride pipe. IJNS 2018; 07: 142-146
  • 11 Agrawal A, Vijay M, Harsha J, Umamaheshwar Reddy V. Management of craniofacial injuries: a primer for residents. Romanian Neurosurgery 2014; 21: 341-347
  • 12 Dubhashi SP, Choudhary K. Penetrating facial injury. Indian J Surg 2014; 76 (03) 237-238
  • 13 Salar G, Costella GB, Mottaran R, Mattana M, Gazzola L, Munari M. Multiple craniocerebral injuries from penetrating nails. Case illustration. J Neurosurg 2004; 100 (05) 963
  • 14 Zhang D, Chen J, Han K, Yu M, Hou L. Management of penetrating skull base injury: a single institutional experience and review of the literature. BioMed Res Int 2017; 2017: 2838167
  • 15 Onyekwe LO, Ohaegbulam SC. Penetrating orbito-cranial and ocular cow-horn injuries. Niger J Clin Pract 2007; 10 (02) 177-179
  • 16 Park SH, Cho KH, Shin YS. et al. Penetrating craniofacial injuries in children with wooden and metal chopsticks. Pediatr Neurosurg 2006; 42 (03) 138-146
  • 17 Karim T, Topno M. An unusual case of penetrating head injury in a child. J Emerg Trauma Shock 2010; 3 (02) 197-198
  • 18 Jain D, Aggarwal G, Lubana P, Moses S. Penetrating craniofacial arrow injury. J Neurosci Rural Pract 2010; 1 (01) 17-19
  • 19 Agarwal S, Gupta S. Hypohidrotic ectodermal dysplasia. Indian J Ophthalmol 1993; 41: 125-127
  • 20 Demetriades AK, Papadopoulos MC. Penetrating head injury in planned and repetitive deliberate self-harm. Mayo Clin Proc 2007; 82 (05) 536
  • 21 Agrawal A, Pratap A, Agrawal CS, Kumar A, Rupakheti S. Transorbital orbitocranial penetrating injury due to bicycle brake handle in a child. Pediatr Neurosurg 2007; 43 (06) 498-500
  • 22 Agrawal A, Reddy VU, Kumar SS, Hegde KV, Rao GM. Transorbital orbitocranial penetrating injury with an iron rod. Craniomaxillofac Trauma Reconstr 2016; 9 (02) 145-148
  • 23 Walid MS, Yelverton JC, Robinson JS Jr. Penetrating orbital trauma with internal carotid injury. South Med J 2009; 102 (01) 116-117
  • 24 Lan Z, Richard SA, Ma L, Yang C. Nonmissile anterior skull-base penetrating brain injury: experience with 22 patients. Asian J Neurosurg 2018; 13 (03) 742-748
  • 25 Bunevicius A, Bareikis K, Kalasauskas L, Tamasauskas A. Penetrating anterior skull base fracture inflicted by a cow’s horn. J Neurosci Rural Pract 2016; 7 (Suppl. 01) S106-S108
  • 26 De Tommasi A, Cascardi P, De Tommasi C, Luzzi S, Ciappetta P. Emergency surgery in a severe penetrating skull base injury by a screwdriver: case report and literature review. World J Emerg Surg 2006; 1: 36
  • 27 Chowdhury FH, Haque MR, Hossain Z, Chowdhury NK, Alam SM, Sarker MH. Nonmissile penetrating injury to the head: experience with 17 cases. World Neurosurg 2016; 94: 529-543
  • 28 Schreckinger M, Orringer D, Thompson BG, La Marca F, Sagher O. Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm. J Neurosurg 2011; 114 (01) 53-61