BACKGROUND Very few cases of severe penetrating injuries to the skull base with a seemingly innocuous object have been described in the literature. Of the cases reported, only ten involve a penetrating screwdriver. However, the choice of therapeutic management, whether it be emergency surgical or non-surgical removal of the penetrating object as well as the selected surgical approach remain qui...

London’s Air Ambulance, London, UK Full list of author information is available at the end of the article Figure 1 A) Displaced fracture causeing sagittal sinus thrombosis; B) Periosteal haematoma compressing right transverse sinus; C) Right Sigmoid Sinus thrombus forming under undisplaced right occipital / base of skull fracture. Hendrickson et al. Scandinavian Journal of Trauma, Resuscitation...

A 45-year-old male was autopsied. He had fallen backwards from a two-stairs height to the ground and passed away. A skull fracture was detected in the left occipital area, extending up to the left side of the skull base. The patient's death occurred due to the very low thickness of the calvarial bones, which led to the aforementioned fracture, and in turn resulted in subarachnoid hemorrhage and...

Due to improvements in emergency resuscitation provided by rescue teams, more trauma victims who could have died due to sudden heart failure at the scene are brought to the hospital following resuscitation. Most of these patients present with major organ injuries and hypovolemic shock at the time of trauma. However, head trauma associated with sudden heart arrest is rare. Here, we report a case...

UNLABELLED Technical and technological innovations have spearheaded the expansion of the indications for the use of endoscopic endonasal approaches to extirpate malignancies of the sinonasal tract and adjacent skull base. OBJECTIVE Critical review of the available literature regarding the use of endoscopic endonasal approaches including indications, limitations, surgical techniques, oncologic...

Iatrogenic injuries of the frontal skull base commonly occur during endoscopic sinus surgery. In this paper, we present a rare case of cranial base injury after transnasal endotracheal intubation for dental surgery. A 61-year-old otherwise healthy man presented at the emergency department with headache, right leg weakness and watery nasal discharge on the left side. He underwent a dental surger...

INTRODUCTION During endoscopic anterior skull base surgery, reconstruction options for defects of the sella turcica or anterior cranial base require careful consideration of defect size, shape, location, and need for adjuvant therapy. A variety of techniques are available, ranging from single layer reconstruction to multilayer reconstruction with microvascular tissue transfer. Each method has p...

on the ground. A friend gave him a little brandy, and he performed the motions of deglutition ; he was then put into a doolie and taken to his house. I saw him a quarter of an hour after the accident, in company with Assistant Surgeon Stevens6n, r.a., and Assistant Surgeon Leader, of the Buffs. Perfectly insensible; breathing stertorous and slow; gurgling in wind-pipe; pulse about 100?full, har...