Acta Neurochirurgica

, Volume 153, Issue 6, pp 1351–1355 | Cite as

Traumatic brain injuries in illustrated literature: experience from a series of over 700 head injuries in the Asterix comic books

  • Marcel A. KampEmail author
  • Philipp Slotty
  • Sevgi Sarikaya-Seiwert
  • Hans-Jakob Steiger
  • Daniel Hänggi
Clinical Article



The goal of the present study was to analyze the epidemiology and specific risk factors of traumatic brain injury (TBI) in the Asterix illustrated comic books. Among the illustrated literature, TBI is a predominating injury pattern.


A retrospective analysis of TBI in all 34 Asterix comic books was performed by examining the initial neurological status and signs of TBI. Clinical data were correlated to information regarding the trauma mechanism, the sociocultural background of victims and offenders, and the circumstances of the traumata, to identify specific risk factors.


Seven hundred and four TBIs were identified. The majority of persons involved were adult and male. The major cause of trauma was assault (98.8%). Traumata were classified to be severe in over 50% (GCS 3–8). Different neurological deficits and signs of basal skull fractures were identified. Although over half of head-injury victims had a severe initial impairment of consciousness, no case of death or permanent neurological deficit was found. The largest group of head-injured characters was constituted by Romans (63.9%), while Gauls caused nearly 90% of the TBIs. A helmet had been worn by 70.5% of victims but had been lost in the vast majority of cases (87.7%). In 83% of cases, TBIs were caused under the influence of a doping agent called “the magic potion”.


Although over half of patients had an initially severe impairment of consciousness after TBI, no permanent deficit could be found. Roman nationality, hypoglossal paresis, lost helmet, and ingestion of the magic potion were significantly correlated with severe initial impairment of consciousness (p ≤ 0.05).


Traumatic brain injury Illustrated literature risk factors Ancient Roman Empire Asterix 


Competing interest

None declared

Conflicts of interest



  1. 1.
    Bruns J Jr, Hauser WA (2003) The epidemiology of traumatic brain injury: a review. Epilepsia 44(Suppl 10):2–10PubMedCrossRefGoogle Scholar
  2. 2.
    Summers CR, Ivins B, Schwab KA (2009) Traumatic brain injury in the United States: an epidemiologic overview. Mt Sinai J Med 76(2):105–110PubMedCrossRefGoogle Scholar
  3. 3.
    Langlois JA, Rutland-Brown W, Wald MM (2006) The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil 21(5):375–378PubMedCrossRefGoogle Scholar
  4. 4.
    Leon-Carrion J, Dominguez-Morales MR, Martin JM, Murillo-Cabezas F (2005) Epidemiology of traumatic brain injury and subarachnoid hemorrhage. Pituitary 8(3–4):197–202PubMedCrossRefGoogle Scholar
  5. 5.
    Sanchez GM, Burridge AL (2007) Decision making in head injury management in the Edwin Smith Papyrus. Neurosurg Focus 23(1):E5PubMedCrossRefGoogle Scholar
  6. 6.
    Wilkins RH (1964) Neurosurgical classic. XVII. J Neurosurg 21:240–244PubMedCrossRefGoogle Scholar
  7. 7.
    Rose FC (1997) The history of head injuries: an overview. J Hist Neurosci 6(2):154–180PubMedCrossRefGoogle Scholar
  8. 8.
    Kanz F, Grossschmidt K (2006) Head injuries of Roman gladiators. Forensic Sci Int 160(2–3):207–216PubMedCrossRefGoogle Scholar
  9. 9.
    Cusimano MD, Kwok J (2010) The effectiveness of helmet wear in skiers and snowboarders: a systematic review. Br J Sports Med 44(11):781–786PubMedCrossRefGoogle Scholar
  10. 10.
    Liu BC, Ivers R, Norton R, Boufous S, Blows S, Lo SK (2008) Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev (1):CD004333Google Scholar
  11. 11.
    Lenartz D, Dott U, Menzel J, Schierholz JM, Beuth J (2000) Survival of glioma patients after complementary treatment with galactoside-specific lectin from mistletoe. Anticancer Res 20(3B):2073–2076PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Marcel A. Kamp
    • 1
    Email author
  • Philipp Slotty
    • 1
  • Sevgi Sarikaya-Seiwert
    • 1
  • Hans-Jakob Steiger
    • 1
  • Daniel Hänggi
    • 1
  1. 1.Department for NeurosurgeryHeinrich-Heine-University DüsseldorfDüsseldorfGermany

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