Penetrating brain injury

Case contributed by Dr Reda Abdelgelil Zeid


Accidentally hit his head with a screw-gun.

Patient Data

Age: 30 years
Gender: Male

There is a metallic screw seen penetrating the right frontal bone.  


There is a metallic screw penetrating the right frontal bone, extending about 4 cm into the brain parenchyma. Adjacently, there is a right frontal lobe parenchymal hematoma measuring 3.3 x 2.8 x 4 cm. There is a midline shift to the left. Multiple small areas of air density are seen within the brain parenchyma,

Case Discussion

This case represents one of the mechanisms of traumatic brain injury. Non-enhanced CT is the modality of choice for evaluation of traumatic brain injury and is usually the first modality to be employed in such cases.

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Case information

rID: 53469
Published: 20th May 2017
Last edited: 16th Dec 2019
System: Trauma
Inclusion in quiz mode: Included
Excluded from licensing

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