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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
Rivista di Medicina, Traumatologia e Psicologia dello Sport
Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111
The Journal of Sports Medicine and Physical Fitness 2017 Feb 22
Copyright © 2017 EDIZIONI MINERVA MEDICA
Transnasal-transsphenoidal brain injury by a fencing foil: an unusual case report and brief literature review
Rafet ÖZAY ✉, Mehmet S. BALKAN, Çağhan TÖNGE, Zeki ŞEKERCI
Ministry of Health, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Neurosurgery, Ankara, Turkey
BACKGROUND: In this report, the authors present an unusual case of a 10-year-old child who suffered a severe headache and rhinorrhea that occurred as a result of fencing foil sports injury via transnasal-transsphenoidal (TNTS) pathway.
METHODS: Following to trauma, the child had shown neurological symptoms such a pupil dilatation, change in consciousness and mild hemiparesia. Imaging demonstrated destruction of bone structures including posterior wall of sphenoid sinus and anterosuperior part of sella turcica, and also a contusion at right thalamic region. For treatment of rhinorrhea lumbar drainage system (LDS) had planted in order to relieve cerebrospinal fluid (CSF) leakage.
RESULTS: After the treatment the patient had fully recovered without any need of further surgical intervention. CSF leakage had prevented and neurological symptoms were completely treated.
CONCLUSIONS: This case represents the first report of brain injury via TNTS pathway in a sports practice. Diagnosis, clinic follow-up and treatment options of this rare accidental sports injury are discussed.
KEY WORDS: Fencing - Rhinorrhea - Brain injury - Transsphenoidal - Lumbar drainage system