05/11/2023
🛑 Stop Violence Against Women....
Dear All....
Must Read...
Raise Your Voice to End Violence against Women ...
A 35 Years Old Woman, had A Steel Nail which had almost been completely driven into her skull by her Husband because She didn't Make Fruit Chat for Iftar....
A Case Of Domestic Violence and Assault Against Woman in Our Society....
Domestic violence is on the increase in our
environment and more unusual injuries are
appearing.
It is unusual to have a nail driven in the skull of an individual as a result of assault.....
This is a report of a case of a 12cm nail
hammered into the skull in an attempted murder
by Her Husband.....
❇️Case Presentation❇️
A 35-year-old woman was found unconscious in
her room with a hammer lying beside her.
On careful examination of the head it was
discovered that the patient had a nail which had
almost been completely driven into her skull.
The nail was on the left mid-parietal area close
to the midline.
There was no significant external bleeding, as the scalp had only a cut corresponding with the point of entry of the nail.
She was brought to our emergency unit a
few hours after sustaining the injury.
Physical and neurological examinations showed an unconscious woman with a Glasgow coma score of 10/15.
The head of the nail was firmly attached and lying flush with the scalp.
Skull Xray disclosed a single, 12-cm long, radiopaque foreign body penetrating into the left parietal skull bone into the brain.
Clinically she had no evidence of raised intracranial pressure and she was haemodynamically stable.
With the diagnosis of penetrating intracranial
nail injury, a burr hole was made on the parietal
area adjoining the nail and its removal effected
with a redivac drain placed in the subdural
space.
No significant intracranial bleeding was
found and no significant Cerebrospinal fluid
leak was observed....
Three-weeks later she was fully conscious with
slurred speech and improved muscle power on
the right limbs 4/5.
After six months of follow up she has returned to normalcy....
courtesy Dr.Shahid Irfan
