Impalement brain injury: report of five consecutive clinical cases

Koko, Aliyu Muhammad; Lasseini, Ali

doi:10.1186/s41984-020-00077-8

Egyptian Journal of Neurosurgery

Table 1 Biodemographic and clinical characteristics of patients

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

Variable	Case 1 (Figs. 1, 2, 3, 4 and 5) Fig. 1 Implaed iron rod at presentation Full size image Fig. 2 Skull xray showing implaed iron rod Full size image Fig. 3 CT scan showing an impled metal Full size image Fig. 4 Implaed iron rod Full size image Fig. 5 Iron rod after removal Full size image	Case 2 (Figs. 6, 7 and 8) Fig. 6 Implaed metallic part of a dane gun Full size image Fig. 7 Xrays showing imapled metallic part of dane gun Full size image Fig. 8 Metallic part of a dane gun after removal Full size image	Case 3 (Fig. 9) Fig. 9 Impaled multifaceted spear in cranio-cervical area Full size image	Case 4 (Figs. 10 and 11) Fig. 10 Impaled midline frontal piece of stone Full size image Fig. 11 Piece of stone after removal Full size image	Case 5 (Figs. 12 and 13) Fig. 12 Axial slice CT scan showing right frontal imapled charred wood appearing as hypodense lesion Full size image Fig. 13 Intraoperative image showing impaled charred wood Full size image
Age (years)	18	17	25	70	10
Gender	M	M	M	M	M
Aetiology	Assault	Accidental discharge	Assault	Road traffic accident	Falls from tree
Impaled object	Iron rod	Metallic part of Dane gun	Multi-faceted spear	Piece of stone	Piece of charred wood
Duration between injury and presentation (h)	3	12	1	12	24
GCS at presentation	14	14	4	7	8
Route	Left frontal	Left frontal	Right occipito-cervical	Midline frontal	Right frontal
Surgical approach	Left frontal craniectomy	Left frontal craniectomy	Nil	Midline frontal craniectomy	Right frontal craniectomy
Glasgow outcome score (GOS)	Good recovery (GOS. 5)	Good recovery (GOS. 5)	Death (GOS. 1)	Death (GOS. 1)	Death (GOS. 1)

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