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Table 1 Biodemographic and clinical characteristics of patients

From: Impalement brain injury: report of five consecutive clinical cases

VariableCase 1 (Figs. 1, 2, 3, 4 and 5)
Fig. 1
figure 1

Implaed iron rod at presentation

Fig. 2
figure 2

Skull xray showing implaed iron rod

Fig. 3
figure 3

CT scan showing an impled metal

Fig. 4
figure 4

Implaed iron rod

Fig. 5
figure 5

Iron rod after removal

Case 2 (Figs. 6, 7 and 8)
Fig. 6
figure 6

Implaed metallic part of a dane gun

Fig. 7
figure 7

Xrays showing imapled metallic part of dane gun

Fig. 8
figure 8

Metallic part of a dane gun after removal

Case 3 (Fig. 9)
Fig. 9
figure 9

Impaled multifaceted spear in cranio-cervical area

Case 4  (Figs. 10 and 11)
Fig. 10
figure 10

Impaled midline frontal piece of stone

Fig. 11
figure 11

Piece of stone after removal

Case 5 (Figs. 12 and 13)
Fig. 12
figure 12

Axial slice CT scan showing right frontal imapled charred wood appearing as hypodense lesion

Fig. 13
figure 13

Intraoperative image showing impaled charred wood

Age (years)1817257010
AetiologyAssaultAccidental dischargeAssaultRoad traffic accidentFalls from tree
Impaled objectIron rodMetallic part of Dane gunMulti-faceted spearPiece of stonePiece of charred wood
Duration between injury and presentation (h)31211224
GCS at presentation1414478
RouteLeft frontalLeft frontalRight occipito-cervicalMidline frontalRight frontal
Surgical approachLeft frontal craniectomyLeft frontal craniectomyNilMidline frontal craniectomyRight frontal craniectomy
Glasgow outcome score (GOS)Good recovery (GOS. 5)Good recovery (GOS. 5)Death (GOS. 1)Death (GOS. 1)Death (GOS. 1)