Mortal cranial transfixion caused by an iron rod propelled by a grass mower

Authors

DOI:

https://doi.org/10.35954/SM2019.38.1.11

Keywords:

Skull Fractures, Brain Injuries, Traumatic, Phineas Gage, Cerebrovascular Trauma, Craniocerebral Trauma, Head Injuries, Penetrating

Abstract

On December 16, 1994, a 22-year-old male patient was admitted to the Armed Forces Central Hospital from a military unit in the city of Montevideo (Uruguay). His skull was transfixed by a piece of spiral-shaped iron rod (twisted) such as those usually used in building structures. It had been propelled by a grass mower operated by another peer. The victim was in his proximity. One end of the bar emerged from the right occipital region and the other end from the mouth corner on the same side. He was alive upon admission, but in the evolution, he developed local septic complications (meningitis, ventriculitis) and finally sepsis and mortal brain stem injury after 40 days. An autopsy was performed in the Department of Legal Medicine of the hospital.
The medico legal case took place 25 years ago. However, its exceptionality within the consulted bibliography has convinced us of its interest.

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Author Biography

Dr. Augusto Soiza Larrosa, Miembro de Honor y ex presidente de la Sociedad Uruguaya de Historia de la Medicina.

Médico Legista. Ex Jefe del Departamento Médico Legal del Hospital Central de las Fuerzas Armadas. Montevideo. Uruguay.

Correspondencia: 21 de setiembre 2713. Apto. 401. C.P. 11300. Montevideo, Uruguay. Tel.: (+598) 27101418.
E-mail de contacto: asoiza@adinet.com.uy

References

(1) Ratiu P, Talos I, Haker S, Lieberman D, Everet P. Case Report. The Tale of Phineas Gage Digitally Remastered. J Neurotrauma 2004; 21(5):637-643. https://doi.org/10.1089/089771504774129964

(2) Costandi M. The incredible case of Phineas Gage. Neurophilosophy Wordpress, under History of neuroscience, Neuroscience, Psychology Monday, December 4, 2006. Disponible en: https://neurophilosophy.wordpress.com/2006/12/04/the-incredible-case-of-phineas-gage/ [Consulta 31/08/2018].

(3) Quijada P. En 1848 una barra de hierro le atravesó el cráneo y sobrevivió. Cosas del cerebro, May 11, 2013. Disponible en: https://abcblogs.abc.es/cosas-cerebro/curiosidades/en-1848-una-barra-dehierro-le-atraveso-el-craneo-y-sobrevivio.html

(4)] John M, Harlow JM. Passage of an iron rod through the head. Letter to the Editor. Boston Med Surg J 1848; 39:389-393.

(5) NIOSH. Fatality Assessment and Control Evaluation Program. Inform Nº 2013/04. Disponible en: https://www.cdc.gov/spanish/niosh/face/pdfs/face2013-04.pdf [Consulta 31/08/2018].

(6) Huston B, County R. Medical Examiner’s Office. A Fatal Perforating Lawn Mower Injury. J Forensic Sci Criminol 2015; 2(1):1014.

(7) Coopwood TB. Missile injuries from power lawn mowers. Texas Med 1976; 72(4):53-54.

(8) McNamara WF, Yamout S, Escobar M, Glick P. Lawn mower-related proyectile injury. Pediatr Surg Int 2009; 25:643.64.

Published

2019-06-03

How to Cite

1.
Soiza Larrosa DA. Mortal cranial transfixion caused by an iron rod propelled by a grass mower. Salud Mil [Internet]. 2019 Jun. 3 [cited 2026 May 27];38(1):94-101. Available from: https://www.revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/27

Issue

Section

Medical Jurisprudence

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