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“Mosaic Pattern” Foreign Bodies in Computed Tomography of the Head: A Specific Sign to Detect Tempered Glass-Related Head Injury

Year: 2019

Type: article

Abstract: A 40-year-old male patient presented to us with a history of road traffic accident, followed by loss of consciousness and vomiting. Noncontrast computed tomography (NCCT) scan revealed frontal bone defect along with multiple “mosaic pattern” homogenously hyperdense foreign bodies of nearly similar size in the right frontoparietal region within the extradural space. Debridement craniectomy was done, and multiple pieces of glass were retrieved. The extremely unique radiologic finding and probably first in the English literature prompted us to report this interesting case. Unfortunately, the patient died of myocardial infarction 3 days after the injury. Further, this new “mosaic pattern” radiologic finding on NCCT of the head may help in determining the mechanism of injury due to tempered glass-related head trauma. Window glass may not be always safe as it is thought by commuters.

Source: Indian Journal of Neurosurgery

DOI: 10.1055/s-0039-1700302

Authors: Mohd. Faheem, Raj Kumar, Manish Jaiswal, Mohammad Ahmed Ansari, Noor us Saba

Institutions: Uttar Pradesh University of Medical Sciences, King George's Medical University, Aligarh Muslim University

Language: English

Topic: Traumatic Brain Injury and Neurovascular Disturbances

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2988848933