Volume 147, Number 3, 331-333, DOI: 10.1007/s00701-004-0429-7

Artistic assault: an unusual penetrating head injury reported as a trivial facial trauma

T. S. Mandat, C. R. Honey, D. A. Peters and B. R. Sharma

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Abstract

The authors report a case of penetrating head injury that presented with a deceptively mild complaint. To our knowledge, it is the first report of a paintbrush penetrating the brain. The patient reported being punched in the left eye and presented with a minor headache, swelling around the left orbit, a small cut on the cheek and slightly reduced left eye abduction. After radiological evaluation, a penetrating head injury was diagnosed. Under general anesthesia, through a lateral eyelid incision a 10.5thinspcm long paintbrush, which had penetrated from the left orbit to the right thalamus, was removed. No post-operative infection was seen at six months follow-up. This brief report serves to highlight that penetrating brain injury can occur without neurological deficit and that a minimally invasive surgical approach was successful in avoiding any complications.

Keywords: Head injury; penetrating brain injury; paintbrush.

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