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Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail

Received: 18 March 2019     Accepted: 23 April 2019     Published: 5 June 2019
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Abstract

Introduction. Superior sagittal sinus posterior part injuries can rapidly lead to death by uncontrollable bleeding. The type of weapon used, the size of the sinus wound and the portion of the sinus concerned can make their gravities. We report diagnostic circumstances, treatment and evolution of 3 cases of penetrating superior sagittal sinus injuries by carpenter's nail. Methods. We describe 3 cases of a penetrating superior sagittal sinus posterior part injuries by carpenter's nail admitted in Neurosurgery department of Yalgado Ouédraogo University Teaching Hospital of Ouagadougou in 2007, 2013 and 2017. Results. Three patients aged 25, 28 and 24 years respectively admitted 19 hours on average after a traumatic brain injury by a penetrating object. Circumstance was the popular verdict 1 case. In the other cases, the circumstance could not be elucidated. The neurological examination was normal for the 3 patients. Local examination noted in 2 patients, a nail implanted in the skull in the posterior part of the median line. In 1 patient, there were 2 punctiforms wounds of the scalp in the posterior part of the median line. CT scan showed a large nail about 10 cm long in 2 patients and 2 nails of the same size in 1 patient. These nails were in contact or crossing the superior sagittal sinus in its posterior part. The removal of these nails was done under general anesthesia. The postoperative course was simple under antibiotic prophylaxis. Conclusion. Posterior sagittal sinus injuries by carpenter's nails were criminal origin in a context of popular justice. During their ablation under general anesthesia, bleeding from the superior sagittal sinus caused by nails removal was controlled by finger compression and stopped by placement of hemostatic compresses. Apposition of epicranium reinforced the dura closure.

Published in International Journal of Neurosurgery (Volume 3, Issue 1)
DOI 10.11648/j.ijn.20190301.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Head Injuries, Carpenter’s Nail, Superior Sagittal Sinus

References
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[2] KD Muballe, T Hardcastle, E Kiratu. Neurological findings in pediatric penetrating head injury at a university teaching hospital in Durban, South Africa: a 23-year retrospective study. Journal of Neurosurgery: Pediatrics. 2016; 18 (5): 550-557.
[3] Bell RS, Mossop CM, Dirks MS, Stepens FL, Mulligan L, Ecker R and al. Early decompressive craniectomy for severe penetrating and closed head injury during wartime. Neurosurg Focus. 2010; 28 (5):1-6.
[4] Bodanapally UK, Saksobhavivat N, Shanmuganathan K, aarabi B, Roy AK. Arterial injuries after penetrating brain injury in civilians: risk factors on admission head computed tomography. J Neurosurg. 2015; 122:219–226.
[5] Arifin MZ, Gill AS, Faried A. Penetrating skull fracture by a wooden object: Management dilemmas and literature review. Asian J Neurosurg. 2012; 7 (3): 131-134.
[6] Kazim SF, Bhatti A, Godil SS. Craniocerebral injury by penetration of a T-shaped metallic spanner: A rare presentation. SurgNeurol Int. 2013; 4: 2.
[7] Daghfousa A, Bouzaïdi K, Abdelkefi M, Rebai S, Zoghlemi A, Mbarekc M, Rezgui L Marhoul. Apport de l’imagerie dans la prise en charge initiale des traumatismes balistiques. Journal de Radiologie Diagnostique et Interventionnelle. 2015; 96: 113-123.
[8] Bodanapally U K, ShanmUganathan K, BoScaK AR, Jaffray P M, Van der Byl G, Roy AK and al. Vascular complications of penetrating brain injury: comparison of helical CT angiography and conventional angiography. J Neurosurg. 2014; 121: 1275-1283.
[9] Quenuma J-M K, Quenuma B, Fanoua L, Akadiri R, Gnangnona A. Prise en charge des plaiescrânio-cérébrales à Cotonou (République du Bénin). Société de neurochirurgie de langue francaise / Neurochirurgie. 2013; 59: 225-263.
[10] Abdulbaki A, Al-Otaibi F, Almalki A, Alohaly N, Baeesa S. TransorbitalCraniocerebral Occult Penetrating Injury with Cerebral Abscess Complication. Case Rep Ophthalmol Med. 2012: 742-86.
[11] Geeraerts T Haïk W, Tremey B, Duranteau J, Vigue B, Troubles de la coagulation lors du traumatisme cranio-encéphalique: physiopathologie et conséquences thérapeutiques. Annales Françaises d’Anesthésie et de Réanimation. 2010; 29: 177–181.
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  • APA Style

    Zabsonré Denléwendé Sylvain, Kinda Boureima, Diallo Ismael, Sondo Kongnimissom Apoline, Savadogo Mamadou, et al. (2019). Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail. International Journal of Neurosurgery, 3(1), 1-4. https://doi.org/10.11648/j.ijn.20190301.11

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    ACS Style

    Zabsonré Denléwendé Sylvain; Kinda Boureima; Diallo Ismael; Sondo Kongnimissom Apoline; Savadogo Mamadou, et al. Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail. Int. J. Neurosurg. 2019, 3(1), 1-4. doi: 10.11648/j.ijn.20190301.11

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    AMA Style

    Zabsonré Denléwendé Sylvain, Kinda Boureima, Diallo Ismael, Sondo Kongnimissom Apoline, Savadogo Mamadou, et al. Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail. Int J Neurosurg. 2019;3(1):1-4. doi: 10.11648/j.ijn.20190301.11

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  • @article{10.11648/j.ijn.20190301.11,
      author = {Zabsonré Denléwendé Sylvain and Kinda Boureima and Diallo Ismael and Sondo Kongnimissom Apoline and Savadogo Mamadou and Korsaga Alexandre and Tinto Sayouba and Haro Yacouba and Kabré Abel},
      title = {Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail},
      journal = {International Journal of Neurosurgery},
      volume = {3},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijn.20190301.11},
      url = {https://doi.org/10.11648/j.ijn.20190301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20190301.11},
      abstract = {Introduction. Superior sagittal sinus posterior part injuries can rapidly lead to death by uncontrollable bleeding. The type of weapon used, the size of the sinus wound and the portion of the sinus concerned can make their gravities. We report diagnostic circumstances, treatment and evolution of 3 cases of penetrating superior sagittal sinus injuries by carpenter's nail. Methods. We describe 3 cases of a penetrating superior sagittal sinus posterior part injuries by carpenter's nail admitted in Neurosurgery department of Yalgado Ouédraogo University Teaching Hospital of Ouagadougou in 2007, 2013 and 2017. Results. Three patients aged 25, 28 and 24 years respectively admitted 19 hours on average after a traumatic brain injury by a penetrating object. Circumstance was the popular verdict 1 case. In the other cases, the circumstance could not be elucidated. The neurological examination was normal for the 3 patients. Local examination noted in 2 patients, a nail implanted in the skull in the posterior part of the median line. In 1 patient, there were 2 punctiforms wounds of the scalp in the posterior part of the median line. CT scan showed a large nail about 10 cm long in 2 patients and 2 nails of the same size in 1 patient. These nails were in contact or crossing the superior sagittal sinus in its posterior part. The removal of these nails was done under general anesthesia. The postoperative course was simple under antibiotic prophylaxis. Conclusion. Posterior sagittal sinus injuries by carpenter's nails were criminal origin in a context of popular justice. During their ablation under general anesthesia, bleeding from the superior sagittal sinus caused by nails removal was controlled by finger compression and stopped by placement of hemostatic compresses. Apposition of epicranium reinforced the dura closure.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Penetrating Superior Sagittal Sinus Post Part Injuries by Carpenter’s Nail
    AU  - Zabsonré Denléwendé Sylvain
    AU  - Kinda Boureima
    AU  - Diallo Ismael
    AU  - Sondo Kongnimissom Apoline
    AU  - Savadogo Mamadou
    AU  - Korsaga Alexandre
    AU  - Tinto Sayouba
    AU  - Haro Yacouba
    AU  - Kabré Abel
    Y1  - 2019/06/05
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijn.20190301.11
    DO  - 10.11648/j.ijn.20190301.11
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20190301.11
    AB  - Introduction. Superior sagittal sinus posterior part injuries can rapidly lead to death by uncontrollable bleeding. The type of weapon used, the size of the sinus wound and the portion of the sinus concerned can make their gravities. We report diagnostic circumstances, treatment and evolution of 3 cases of penetrating superior sagittal sinus injuries by carpenter's nail. Methods. We describe 3 cases of a penetrating superior sagittal sinus posterior part injuries by carpenter's nail admitted in Neurosurgery department of Yalgado Ouédraogo University Teaching Hospital of Ouagadougou in 2007, 2013 and 2017. Results. Three patients aged 25, 28 and 24 years respectively admitted 19 hours on average after a traumatic brain injury by a penetrating object. Circumstance was the popular verdict 1 case. In the other cases, the circumstance could not be elucidated. The neurological examination was normal for the 3 patients. Local examination noted in 2 patients, a nail implanted in the skull in the posterior part of the median line. In 1 patient, there were 2 punctiforms wounds of the scalp in the posterior part of the median line. CT scan showed a large nail about 10 cm long in 2 patients and 2 nails of the same size in 1 patient. These nails were in contact or crossing the superior sagittal sinus in its posterior part. The removal of these nails was done under general anesthesia. The postoperative course was simple under antibiotic prophylaxis. Conclusion. Posterior sagittal sinus injuries by carpenter's nails were criminal origin in a context of popular justice. During their ablation under general anesthesia, bleeding from the superior sagittal sinus caused by nails removal was controlled by finger compression and stopped by placement of hemostatic compresses. Apposition of epicranium reinforced the dura closure.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Neurosurgery Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Anesthésia and Reanimaton Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Infectiology Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Infectiology Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Infectiology Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Trauma and Orthopedic Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Trauma and Orthopedic Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Neurosurgery Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Neurosurgery Department, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso

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