{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T20:48:36Z","timestamp":1768423716504,"version":"3.49.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":1754,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Even if human beings are the most intelligent among all living beings, they are still not immune to attack from wild animals. Human contact with bears has become more frequent as their habitat is being endangered by frequent deforestation. The sloth bear is one of the few bear species found in India, especially in the hilly areas of Southern Odisha. Bears are highly intelligent and omnivorous animals with long claws coupled with powerful shoulder. Here, we describe the tale of a poor tribal male's encounter with a sloth bear resulting in critical injuries to face, scalp, skull bone, with brain matter fungating-out of the skull. We immediately went for debridement of the, bulged-out contused brain matter and opted for delayed repair of scalp defect with antero-lateral thigh free-flap to save him from fatality along with an acceptable cosmetic repair of the defect.<\/jats:p>","DOI":"10.4103\/ajns.ajns_31_15","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T12:54:35Z","timestamp":1507035275000},"page":"724-726","source":"Crossref","is-referenced-by-count":1,"title":["Evisceration of brain: An unusual case report of bear mauling from eastern India"],"prefix":"10.1055","volume":"12","author":[{"given":"Bikash","family":"Behera","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SCB Medical College, Cuttack, Odisha"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjib","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SCB Medical College, Cuttack, Odisha"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SCB Medical College, Cuttack, Odisha"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Gantayat","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, SCB Medical College, Cuttack, Odisha"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"key-10.4103\/1793-5482.215773-1","first-page":"1178","volume-title":"Penetrating head injury caused by bear claws: Case report","author":"Hayashi","year":"2003","journal-title":"J Trauma"},{"key":"key-10.4103\/1793-5482.215773-2","first-page":"158","volume-title":"Bear maulings treated in Calgary, Alberta: Their management and sequelae","author":"Frank","year":"2006","journal-title":"Can J Plast Surg"},{"key":"key-10.4103\/1793-5482.215773-3","first-page":"121","volume-title":"Human injury from bear attacks in Alaska, 1900-1985","author":"Middaugh","year":"1987","journal-title":"Alaska Med"},{"key":"key-10.4103\/1793-5482.215773-4","unstructured":"Herrero S. Bear Attacks: Their Causes and Avoidance. New Revised Edition. Toronto: McClelland and Stewart Ltd.; 2003."},{"key":"key-10.4103\/1793-5482.215773-5","first-page":"115","volume-title":"Injuries caused by the black Himalayan bear in the foothills of Garhwal, Himalayas","author":"Dvivedi","year":"2003","journal-title":"Trop Doct"},{"key":"key-10.4103\/1793-5482.215773-6","first-page":"193","volume-title":"Surgical management of injuries sustained from grizzly bear maulings treated in Vancouver, British Columbia","author":"Mahabir","year":"2000","journal-title":"Can J Plast Surg"},{"key":"key-10.4103\/1793-5482.215773-7","first-page":"3374","volume-title":"Bacteriology of a bear bite wound to a human: Case report","author":"Kunimoto","year":"2004","journal-title":"J Clin Microbiol"},{"key":"key-10.4103\/1793-5482.215773-8","first-page":"337","volume-title":"Observation of a polar bear with rabies","author":"Taylor","year":"1991","journal-title":"J Wildl Dis"},{"key":"key-10.4103\/1793-5482.215773-9","first-page":"156","volume-title":"Dog-bite lacerations: A controlled trial of primary wound closure","author":"Maimaris","year":"1988","journal-title":"Arch Emerg Med"},{"key":"key-10.4103\/1793-5482.215773-10","unstructured":"Kaplan HI, Saddock BJ, Grebb JA. Synopsis of Psychiatry: Behavioral Sciences, Clinical Psychiatry. 7th ed. Baltimore: Williams and Wilkins; 1994. p. 608-11."}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_31_15.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T22:54:07Z","timestamp":1663714447000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_31_15"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":10,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,9,20]]},"published-print":{"date-parts":[[2017,12]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_31_15","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}