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Images in emergency medicine
Craniotomy unplugged
  1. Bríd M Reale1,
  2. Damien Ryan1,
  3. Tim Scanlon2,
  4. Charles Marks3
  1. 1Emergency Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland
  2. 2Department of Radiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland
  3. 3Department of Neurosurgery, Cork University Hospital, Cork, Ireland
  1. Correspondence to Dr Bríd M Reale, Emergency Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland; b.reale1{at}nuigalway.ie

https://doi.org/10.1136/emermed-2012-202117

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    An 18-month-old infant presented to the emergency department following a fall from a couch onto a three-pin electrical plug that embedded in the right parietal area. At presentation, she was alert and crying with no concerning neurological findings.

    Examination revealed that only the upper pin was embedded, appearing to involve only the overlying skin and fascia. Removal of the plug was performed …

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    Footnotes

    • Contributors The case was managed in the emergency department by DR. Subsequent neurosurgical intervention was performed by CM. DR indicated the importance of this case in highlighting pertinent issues central to this case. BMR was responsible for writing the case for submission to the journal as well as performing a literature search to identify similar cases. She is the guarantor for the submission. TS was involved in image selection for the submission.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.