About: Glass fragment injury to the craniocervical junction with inter-atlanto-occipital penetration to the subarachnoid space: Not-to-be-missed important aspects of craniocervical trauma even in the middle of the COVID-19 pandemic: a case report with a review of the literature

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About: Glass fragment injury to the craniocervical junction with inter-atlanto-occipital penetration to the subarachnoid space: Not-to-be-missed important aspects of craniocervical trauma even in the middle of the COVID-19 pandemic: a case report with a review of the literature Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Glass fragment injury to the craniocervical junction with inter-atlanto-occipital penetration to the subarachnoid space: Not-to-be-missed important aspects of craniocervical trauma even in the middle of the COVID-19 pandemic: a case report with a review of the literature
Creator	Akiyama, Katsuhiko Seki, Yasuhiro Yoneoka, Yuichiro Yuichiro, Yoneoka，m
Source	Elsevier; Medline; PMC
abstract	Abstract Background Non-missile penetrating injuries to the craniocervical junction caused by a glass fragment are rare, and a standard management strategy has not been established. Case Description A 75-year-old Japanese man was brought into our emergency department after receiving a left retroauricular stab wound by broken glass fragments. After spinal immobilization, a computed tomographic (CT) scan revealed glass fragments penetrating at the right craniocervical junction to the inter-atlanto-occipital subarachnoid space. CT angiography showed that both vertebral arteries (VAs) were not injured. Magnetic resonance imaging demonstrated that the glass fragments did not penetrate the cervical cord or medulla oblongata (MO). These glass fragments were removed via a midline incision from the external occipital protuberance to the C7 and with laminectomy without suboccipital craniectomy. Five of the glass fragments were found and removed in total. The dural defect was patched with a free fascia autograft. His postoperative course was uneventful. Postoperative CT angiography showed that both the vertebral arteries were intact as well as the complete removal of the glass fragments. Conclusions CT graphical diagnosis is useful for the management of penetrating craniocervical junction trauma, and it should be considered in the evaluation of patients who have suffered craniocervical penetrating injury even in the absence of major wounds or bleeding. Spinal immobilization of patients with craniocervical penetrating injuries is crucial to avoid not only secondary neurological damage but also secondary critical vascular damage. Incomplete or inadequate assessment of craniocervical stab wounds results in unexpected hazards that are preventable.
has issue date	2020-06-16(xsd:dateTime)
bibo:doi	10.1016/j.wneu.2020.06.065
bibo:pmid	32561491
has license	els-covid
sha1sum (hex)	33237d40c8823823e59d48b99986b3a70f2c371c
schema:url	https://doi.org/10.1016/j.wneu.2020.06.065
resource representing a document's title	Glass fragment injury to the craniocervical junction with inter-atlanto-occipital penetration to the subarachnoid space: Not-to-be-missed important aspects of craniocervical trauma even in the middle of the COVID-19 pandemic: a case report with a review of the literature
has PubMed Central identifier	PMC7297170
has PubMed identifier	32561491
schema:publication	World Neurosurg
resource representing a document's body	covid:33237d40c8823823e59d48b99986b3a70f2c371c#body_text
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