A transnasal intracranial stab wound by a plastic-covered umbrella tip

Forensic Sci Int. 2012 Jan 10;214(1-3):e9-e11. doi: 10.1016/j.forsciint.2011.07.004. Epub 2011 Jul 28.


A 48-year-old man died from a transnasal intracranial stab wound caused by an umbrella. The track of the stab passed from the right nostril, through the sphenoid sinus, the left side of the sella turcica and anterior clinoid process, and finally reached the surface of the brain. The stab wound crossed the left internal carotid artery, causing an exsanguination and aspiration of blood into the airway, resulting in death. It is extremely rare that an umbrella tip used during a struggle would stab the nostril of the victim. Transnasal intracranial stab wounds can be overlooked and require sensitive handling.

Publication types

  • Case Reports

MeSH terms

  • Dura Mater / injuries
  • Dura Mater / pathology
  • Exsanguination
  • Forensic Pathology
  • Head Injuries, Penetrating / etiology
  • Head Injuries, Penetrating / pathology*
  • Humans
  • Male
  • Middle Aged
  • Nose / injuries*
  • Nose / pathology*
  • Respiratory Aspiration / pathology
  • Sella Turcica / injuries
  • Sella Turcica / pathology
  • Sphenoid Sinus / injuries
  • Sphenoid Sinus / pathology
  • Wounds, Stab / etiology
  • Wounds, Stab / pathology*