From Traumatismo craneal perforante por arpón de pesca: A propósito de un caso
QuoteA 34-year-old male shot himself in the head with a speargun in a suicide attempt. He did not lose conciousness and was taken to his local hospital where he arrived alert and didn't show any neurological deficit in a quick neurological evaluation. Before being transferred to our hospital the patient was anesthetized and intubated. The trajectory of the harpoon did not impede the intubation maneuver. On arrival at our Intensive Care Unit the man was sedated and showed stable vital signs. The proximal half of the arrow was cut shorter to mobilize the patient better. This procedure was performed with an cold saw (sawing machine that uses a circular saw blade to cut metal) with extreme caution to prevent transmission of vibrations trough the brain. The arrow traversed the patient's head: the entry point was the submental region and the projectile passed trough the tongue, palatal bone, right ethmoidal bone, medial wall of orbital apex, anterior cranial fossa and finally the frontal lobe before reaching the exit point in the right coronal suture about 4 cms away from the sagital sinus.






