{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:53:59Z","timestamp":1774529639355,"version":"3.50.1"},"reference-count":5,"publisher":"Scientific Scholar","issue":"S 01","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"vor","delay-in-days":1028,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Farm workers are at increased risk for animal-inflicted head injuries that are associated with significant morbidity and occasionally may be fatal. These injuries may cause permanent eye damage with or without concomitant skull base fracture. Here, we present a male farmer who suffered a cow attack that resulted in perforating orbital injury with comminuted frontobasal cranial fracture caused by a cow\u2019s horn. The next day, the patient developed nasal and orbital cerebrospinal fluid (CSF) leak. Computed Tomography cisternography revealed CSF leakage to frontal and maxillary sinuses. The patient was treated using prophylactic antibiotic therapy, lumbar drainage, and underwent craniotomy for debridement and dural tear plastic. Post operative course was uneventful and there were no signs of CSF leak 1 year after the surgery. The case illustrates unusual injury inflicted by a cow\u2019s horn and underscores the importance of careful investigation for underlying skull base fracture and CSF leakage in patients sustaining perforating orbital injuries. Adequate and timely management of dural tears is associated with favorable outcomes.<\/jats:p>","DOI":"10.4103\/0976-3147.196443","type":"journal-article","created":{"date-parts":[[2016,12,26]],"date-time":"2016-12-26T09:15:19Z","timestamp":1482743719000},"page":"S106-S108","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Penetrating Anterior Skull Base Fracture Inflicted by a Cow\u2019s Horn"],"prefix":"10.25259","volume":"07","author":[{"given":"Adomas","family":"Bunevicius","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Lithuania"},{"name":"Institute of Neuroscience, Lithuanian University of Health Sciences, Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolis","family":"Bareikis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laimutis","family":"Kalasauskas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arimantas","family":"Tamasauskas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Lithuania"},{"name":"Institute of Neuroscience, Lithuanian University of Health Sciences, Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,25]]},"reference":[{"key":"key-10.4103\/0976-3147.196443-1","first-page":"200","volume-title":"Large animal-related injuries in a rural population in Northeastern Turkey","author":"Caglayan","year":"2013","journal-title":"Indian J Surg"},{"key":"key-10.4103\/0976-3147.196443-2","first-page":"601","volume-title":"Farm-related trauma in the West of Ireland: An occupational hazard","author":"Casey","year":"2014","journal-title":"Ir J Med Sci"},{"key":"key-10.4103\/0976-3147.196443-3","first-page":"177","volume-title":"Penetrating orbito-cranial and ocular cow-horn injuries","author":"Onyekwe","year":"2007","journal-title":"Niger J Clin Pract","ISSN":"https:\/\/id.crossref.org\/issn\/1119-3077","issn-type":"print"},{"key":"key-10.4103\/0976-3147.196443-4","first-page":"48","volume-title":"An unusual case of a penetrating skull-base injury caused by a wild deer's antler","author":"Hebecker","year":"2009","journal-title":"Cent Eur Neurosurg"},{"key":"key-10.4103\/0976-3147.196443-5","first-page":"196","volume-title":"A systematic review of the endoscopic repair of cerebrospinal fluid leaks","author":"Psaltis","year":"2012","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.196443.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:19:16Z","timestamp":1691209156000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/penetrating-anterior-skull-base-fracture-inflicted-by-a-cows-horn\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":5,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2019,9,25]]},"published-print":{"date-parts":[[2016,12]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.196443","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}