E-learning Bedah FK UNS

Penetrating injuries of the skull and brain are relatively uncommon, representing about 0,4% of head injuries (Ishikawa, et al., 2000). Approximately 70-90% of these victims die before arriving at the hospital, and 50% of those who survive to reach the hospital die during resuscitation attempts in the emergency department. Low velocity penetrating wound of the brain are uncommon because the skull usually provides an effective protective barrier. Penetrating head injuries generally occur as the result of violence, including self-inflicted wounds, unexpected events, worker's accidents, etc. A knife blade is the most common agent, but wooden objects, scissors, firearms, and recently nail-guns have all featured. Transcranial stab wounds made with a knife or sickle mostly produce a classic slot skull fracture and underlying tract hematoma, and often cause severe neurological deficits. We treated a patient with a self-inflicted penetrating wound of the skull at the right parietal portion (Wyck, et al., 2015).

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