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Penetrating craniocerebral injury from an underwater fishing harpoon
Authors:F López  J F Martínez-Lage  A Herrera  M Sánchez-Solís  P Torres  M I Palacios  M Poza
Institution:(1) Section of Pediatric Neurosurgery, Virgen de la Arrixaca University Hospital, E-30120 Murcia, Spain e-mail: jfmlage@arrixaca.huva.es Tel.: +34-968-240243 Fax: +34-968-369678, ES;(2) Pediatric Intensive Care Unit, Virgen de la Arrixaca University Hospital, E-30120 Murcia, Spain, ES
Abstract:Weapon injuries other than gunshot wounds or low-velocity stab wounds to the head are extremely rare. We report the case of a 6-year-old girl who sustained a penetrating craniocerebral injury after being accidentally shot with an underwater fishing harpoon. This mechanism of injury seems to share characteristics of both high- and low-velocity projectiles. We discuss the management of this unusual injury in a child, remarking that foreign body removal in these cases must be carried out following the original direction of the projectile trajectory. We review the current literature on craniocerebral injuries caused by similar objects, especially those occurring in children. Received: 18 December 1998
Keywords:  Children  Harpoon  Penetrating craniocerebral injury  Projectile  Severe craniocerebral injury
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