Management of screwdriver-induced penetrating brain injury: a case report

Shi, Jia; Mao, Yumin; Cao, Jiachao; Dong, Bo

doi:10.1186/s12893-016-0195-5

Cited by 8 publications

(8 citation statements)

References 13 publications

(14 reference statements)

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“…The use of MRI for facial trauma would be ideal to prevent exposure to this radiosensitive area, however it could not be used as the initial imaging modality unless the presence of metal foreign objects can be confidently excluded. MRI could be used if additional pre‐operative imaging is required, provided that the long scan time is not a concern and there are no contraindications . The need for additional imaging following a facial trauma CT is typically negated by the reconstruction and 3D modelling capabilities of MDCT, which allow for comprehensive assessment of the face including the intricate orbital region …”

Section: Discussionmentioning

confidence: 99%

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Hooper

Eccles

Milliken

et al. 2019

J of Medical Radiation Sci

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Trauma to the facial area accounts for a significant number of admissions to the emergency department. Diagnostic imaging is almost always required, and is critical in determining patient management. Multi‐detector computed tomography (MDCT) appears consistently in the literature as the gold‐standard imaging modality for facial bones, but results in a high radiation dose to the patient. This makes the application and advancement of dose reduction and dose optimisation methods vital. This narrative review presents a critical analysis of the literature concerning diagnostic imaging of facial bone trauma, with an emphasis on dose reduction methods for MDCT. Databases including Pubmed, Medline, Web of Science and Scopus were used to investigate this topic, with the key words: facial bone trauma, computed tomography (CT) imaging and dose reduction. Exclusion criteria included studies on nasal bone fracturing, dental imaging, elective surgeries and paediatric imaging. The literature shows overwhelming support for MDCT, given its accuracy, efficiency and ease of operation. Noise reducing reconstruction algorithms show promise as a successful method of dose reduction in facial bone imaging. Investigations of more innovative techniques also appear within the literature, including diagnostic cone‐beam CT (CBCT), intraoperative CBCT and dual‐source CT (DSCT), but further research is required to confirm their clinical value.

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Section: Discussionmentioning

confidence: 99%

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Hooper

Eccles

Milliken

et al. 2019

J of Medical Radiation Sci

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“…More intracranial nail advancement would injure the brain stem and aggravate the situation since brain stem injuries impair important activities, including breathing, heart rate, and blood pressure. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Penetrating head trauma resulting from vigilante street justice

Mwesige,

Ndossi,

Rutabasibwa

et al. 2024

Surgical Neurology International

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Background: Penetrating brain injury (PBI) can be caused by a variety of objects ranging from simple to complicated items. Nonetheless, it is strange and unusual to attack someone in the head with a long nail. Due to its rarity, care for them is still being developed and may include many steps. Case Description: We are presenting a 35-year-old guy who was neurologically intact and hemodynamically stable but complained of headaches following a nail blow into the skull during a domestic altercation by a gang of individuals. A computed tomography scan revealed the metallic item inside the brain parenchyma. The patient recovered well from the procedure, which included the early removal of the foreign body, evacuation of the hematoma, and dura repair. Our objective is to demonstrate a few broad management concepts that help enhance patient outcomes. We covered the clinical manifestation and effective treatment of such a rare injury in this study. Conclusion: Proper handling and rapid transport of patients to the advanced trauma center are crucial for victims of PBI. Timely and skilled interventions could prevent further nervous tissue damage and any related neurological dysfunction.

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“…In contrast to firearm injuries, penetrating injuries are associated with a more localized brain injury and therefore with a good postoperative result if handled properly. 5,16,17 The severity of the CPT for stab injuries will depend on the type of weapon, location, depth and trajectory; this may become fatal as a result of massive cerebral hemorrhage and direct lesions of brain structures. 18 In Latin America, the largest description cases of CPT were made in Nicaragua in a retrospective study that included 51 patients with stab injuries ("Machete").…”

Section: Discussionmentioning

confidence: 99%

“…14,15 The prognosis, severity and sequelae will depend on the early identification, location, depth, type of neurovascular damage and the value of Glasgow Coma Scale (GCS) at admission. 16,17…”

Section: Introductionmentioning

confidence: 99%

A rare case: Penetrating craneoencefalic trauma by knife

Ordóñez¹,

Cornejo²,

Ordóñez³

et al. 2021

JNSK

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Background: Cranioencephalic penetrating trauma (CPT) is caused by a sharp or short- pointed object that passes through the bone, dura mater, brain and other structures. Its incidence is unknown and few cases are described; penetrating injuries represent 0.4%, therefore there is no protocolized management. Case report: A 24-year-old male patient suffered penetrating trauma at left parietal region with a "knife"; he was sutured and sent home with analgesics. Five days after the trauma, he was admitted for headache, disorientation and decreased visual acuity. X-ray (XR) of Cranium evidencing a foreign body, therefore it is sent to a reference hospital. Evolution: The diagnosis is confirmed by a computerized tomography (CT) scan of the skull with 3-dimensional reconstruction (3D) plus CT angiography (angio CT), which shows "knife" in the left parietal region without vascular compromise. Neurosurgeons perform removal of the foreign body plus a dura mater plasty. Patient stay 12 days hospitalized with a favorable evolution and improvement of neurological symptomatology. Conclusion: CPT due to a knife is an emergency and there is no protocolized management. The removal of the foreign body must be done in a hospital for the risk of lesions of large vessels.

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Management of screwdriver-induced penetrating brain injury: a case report

Cited by 8 publications

References 13 publications

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Dose reduction in CT imaging for facial bone trauma in adults: A narrative literature review

Penetrating head trauma resulting from vigilante street justice

A rare case: Penetrating craneoencefalic trauma by knife

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