Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

Abstract The risk of severe head injury during a seizure is usually small. Penetrating bony injuries to the skull caused by a fall on a sharp object during a seizure account for less than 3% of all ictal head injuries. Only few reports have been published on transoral, transnasal, and transorbital penetrating injuries suffered by patients who fell during a seizure. We report on a case of transnasal penetrating injury extending to the skull base and its treatment in a patient who fell on a toilet paper holder.