Turkish Neurosurgery
2010 , Vol 20 , Num 1
An Unusual Presentation of Head Injury: Teeth in Brain
SMS Medical College, Neurosurgery Department, Jaipur, India
Penetrating injuries other than gunshot wounds or low-velocity wounds to the
head are extremely rare. We report the case of a 19 year old male who sustained a
penetrating craniocerebral trauma following a road traffic accident. Noncontrast CT
scan revealed three foreign bodies embedded in left frontal lobe, which on surgery
turned out to be human teeth. Mechanism of injury seems to share characteristics of
low velocity projectiles. The survey of management pattern of these injuries showed
a general agreement about CT scan, antibiotics and anticonvulsants. The prompt
management resulted in an excellent outcome. We discuss the management of this
unusual case reviewing the current literature on craniocerebral injuries caused by
similar objects.
Keywords :
Intracranial foreign bodies, Penetrating head injury, Teeth