Table 1

Review of penetrating skull base injuries caused by screwdriver

Author
Cases
Cause
Therapy
Outcome
Comments

Smrkolj V. 1995
two
Homicidal attempt
Surgery
Died
Left hemiplegia, right internal carotid artery thrombosis


Suicidal attempt
Surgery
Died
Brain edema and right anterior cerebral artery infarction
Anderson S.A. 1996
one
Suicidal attempt
No surgery
Survived
Right orbital injury No deficits
Evans R.J. 1996
one
Accident
No surgery
Died
Hard palate impalement
Li T. 2000
one
Homicidal attempt
No surgery
Died
Two weeks later: basilar-cavernous fistula and basilar artery aneurysm
Tutton M.G. 2000
four
Homicidal attempt
No surgery
Survived
Left parietal hemorrhage involving lateral ventricles; right hemiplegia, mild dysphasia



No surgery
Survived
Intracerebral haematoma in the left frontal lobe with an overlying skull vault fracture



Surgery
Died
Depression of the left temporal fossa with acute sub-dural hemorrhage (died two days after surgery)



No Surgery
Died
Tip of the screwdriver penetrated into the brain stem
Wong S.C. 2002
one
Accident
No surgery
Survived
Traumatic optic neuropathy
De Tommasi A. 2006
one
Accident
Surgery
Survived
No deficits

De Tommasi et al. World Journal of Emergency Surgery 2006 1:36   doi:10.1186/1749-7922-1-36