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Transorbital intracranial impalement injuries by wooden foreign bodies: clinical, radiological and forensic aspects.

Abstract：

:Facial impalement injuries involve the danger of diagnostic pitfalls. Even if the penetrating object extends into the cranial cavity, the clinical symptoms and the radiological signs may be uncharacteristic. In order to illustrate the diagnostic problems, two cases of accidental impalement are reported. In both of them, a wooden foreign body penetrated via the orbita into the cranium and remained undetected at first. Imaging by CT and MRI is presented and compared with regard to the respective diagnostic validity of these methods. Due to its specific anatomic configuration, the orbita constitutes a predilective pathway for low-velocity foreign bodies entering the skull. Based on the clinical data and the radiological findings, transorbital impalement wounds inflicted by wooden objects are discussed under neurosurgical and medicolegal aspects.

journal_name

Forensic Sci Int

journal_title

Forensic science international

authors

Orszagh M,Zentner J,Pollak S

doi

10.1016/j.forsciint.2009.09.001

subject

Has Abstract

pub_date

2009-12-15 00:00:00

pages

47-55

issue

1-3

eissn

0379-0738

issn

1872-6283

pii

S0379-0738(09)00363-6

journal_volume

193

pub_type

杂志文章

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