PMC3707323_01
Lion (Bang-Bang) in the circus cage with its trainer
SNI-4-77-g001.jpg
PMC3707323_01_SNI-4-77-g001.jpg
F1
The four-year-old lion was called 'Bang-Bang' and weighed about 200 kg" [Figure 1].
Axial bone CT scan showing an occipital depressed skull fracture and penetration of left frontal and occipital region by the lion canines (arrow)
SNI-4-77-g002.jpg
PMC3707323_01_SNI-4-77-g002.jpg
F2
Intracranial injuries with areas of intracerebral contusion and bleeding as well as subdural air accumulation in the areas where the lion's canines penetrated the skull were found [Figure 2].
(a) Scalp view demonstrating three penetrating skull fractures (arrow) in the left frontal-parietal region caused by the lion's canines and (b) depressed skull left parietal fracture with dura mater laceration
SNI-4-77-g003.jpg
PMC3707323_01_SNI-4-77-g003.jpg
F3
Multifragment fracture of the left parietal bone, with depression and exposure of the brain matter through orifices situated at the bifrontal, biparietal, and occipital levels was found [Figure 3].
Child after immediate admission in the intensive care unit, showing (a) the scalp and lesion in the left orbital region and (b) the chest wound
SNI-4-77-g004.jpg
PMC3707323_01_SNI-4-77-g004.jpg
F4
The patient was admitted to the intensive care unit under mechanical ventilation with sedation and analgesia (heart rate, 115 beats per minute; blood pressure, 100/70 mmHg; GCS, 4/15 points) [Figure 4].