A Metallic Skewer Penetrating the Skull

Abstract

A 35-year-old man was admitted to the emergency department complaining of skewer penetration into his head. He had stable hemodynamics and intact neurological examinations upon admission. The imaging evaluation by computed tomography (CT) showed a metallic skewer penetrated into the left temporal associated with a subdural bleeding, contusion, and depressed bone fracture. In an emergency operation, the pterional approach was implemented, and the skewer was extracted. After six months follow-up, the patient had an intact neurological outcomes and CT angiography demonstrated no vascular complications. The metallic skewer penetration into the brain as a low-velocity penetrant can be safely managed by the implementation of imaging studies, prophylactic drug prescriptions, and planned surgical interventions.