Fatal Transorbital Intracranial Penetrating Injury Due to a Bicycle Brake Handle. 2018

K Sathish, and Vinod Ashok Chaudhari, and Abilash Srinivasa Murthy
From the Departments of Forensic Medicine and Toxicology, and.

Transorbital intracranial injuries are uncommon and mostly accidental in nature. These injuries are usually associated with high mortality. The key to preventing this mortality involves an early diagnosis of intracranial injuries and immediate and appropriate management. Any delay can pose a serious risk to the patient's life. A case of a 55-year-old man who had experienced an accidental self-fall while riding a bicycle is presented. Initially, he was treated at a primary health center. He was referred to the tertiary care institute due to unavailability of ancillary investigation at the primary health center. He was declared dead on arrival at the casualty in the tertiary institute. On autopsy, it was observed that the injury above the right side of the upper eyelid was penetrating the right side roof of the orbit and the right cerebral cortex and brainstem. The highlighting feature of the case is that, despite the fatal penetrating brain injury, the eyeball did not sustain any major injury.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009915 Orbit Bony cavity that holds the eyeball and its associated tissues and appendages. Eye Socket,Eye Sockets,Orbits,Socket, Eye,Sockets, Eye
D005547 Foreign Bodies Inanimate objects that become enclosed in the body. Foreign Objects,Gossypiboma,Retained Surgical Instruments,Retained Surgical Items,Retained Surgical Needle,Retained Surgical Sponge,Retained Surgical Tools,Textiloma,Bodies, Foreign,Body, Foreign,Foreign Body,Foreign Object,Gossypibomas,Object, Foreign,Objects, Foreign,Retained Surgical Instrument,Retained Surgical Item,Retained Surgical Needles,Retained Surgical Sponges,Retained Surgical Tool,Surgical Instrument, Retained,Surgical Instruments, Retained,Surgical Item, Retained,Surgical Items, Retained,Surgical Needle, Retained,Surgical Needles, Retained,Surgical Sponge, Retained,Surgical Sponges, Retained,Surgical Tool, Retained,Surgical Tools, Retained,Textilomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001642 Bicycling The use of a bicycle for transportation or recreation. It does not include the use of a bicycle in studying the body's response to physical exertion (BICYCLE ERGOMETRY TEST see EXERCISE TEST).
D012887 Skull Fractures Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED). Linear Skull Fracture,Skull Fracture, Linear,Skull Fracture, Non-Depressed,Non-Depressed Skull Fracture,Fracture, Non-Depressed Skull,Fracture, Skull,Fractures, Linear Skull,Fractures, Non-Depressed Skull,Fractures, Skull,Linear Skull Fractures,Non Depressed Skull Fracture,Non-Depressed Skull Fractures,Skull Fracture,Skull Fracture, Non Depressed,Skull Fractures, Linear,Skull Fractures, Non-Depressed
D017809 Fatal Outcome Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept. Fatal Outcomes,Outcome, Fatal,Outcomes, Fatal
D018460 Fractures, Comminuted A fracture in which the bone is splintered or crushed into a number of pieces. Comminuted Fracture,Comminuted Fractures,Fracture, Comminuted
D020197 Head Injuries, Penetrating Head injuries which feature compromise of the skull and dura mater. These may result from gunshot wounds (WOUNDS, GUNSHOT), stab wounds (WOUNDS, STAB), and other forms of trauma. Brain Injuries, Penetrating,Cranial Trauma, Penetrating,Craniocerebral Trauma, Penetrating,Missile Injuries, Penetrating, Head,Head Injuries, Penetrating, Missile,Head Injury, Penetrating,Head Trauma, Penetrating,Penetrating Missile Injuries, Head,Brain Injury, Penetrating,Cranial Traumas, Penetrating,Craniocerebral Traumas, Penetrating,Head Traumas, Penetrating,Injuries, Penetrating Head,Injury, Penetrating Head,Penetrating Brain Injuries,Penetrating Brain Injury,Penetrating Cranial Trauma,Penetrating Cranial Traumas,Penetrating Craniocerebral Trauma,Penetrating Craniocerebral Traumas,Penetrating Head Injuries,Penetrating Head Injury,Penetrating Head Trauma,Penetrating Head Traumas,Trauma, Penetrating Cranial,Trauma, Penetrating Craniocerebral,Trauma, Penetrating Head,Traumas, Penetrating Cranial,Traumas, Penetrating Craniocerebral,Traumas, Penetrating Head

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