Penetrating Brain Injury with a bike key - a case report

Das, Joe M

doi:10.5505/tjtes.2015.43958

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…iii) removal of the object, and iv) Watertight closure of the Dura. 12 Neurocritical care is mandatory to avert postop complications ranging from meningitis to CSF leaks & epilepsy. Prophylactic antibiotics and antiepileptic medications are indispensable & reported to significantly decrease infective sequelae & improve overall outcomes.…”

Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Triplegia Resulting from Penetrating Brain Trauma by a Hand-Held Dagger

Tassadaq,

Shah,

Akhtar

et al. 2023

Pak J Neurol Surg

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Penetrating brain trauma is a devastating injury mode mostly seen in military settings. Its low-velocity counterpart resulting from objects such as knives, drills, daggers, etc. is relatively less common & rarely seen present mostly in isolated case reports. The neuropathological outcome can be disproportionately morbid in these cases with a varied clinical spectrum ranging from occult deficits to grave debilities reported. It is an anatomical insult whose course is free of clinical constraints & determined by the trajectory & velocity of the object. In this case report, an 18-year-old male ordeal is reported who suffered the injury from a hand-held dagger that involved both parietal cortices via midline traversing. GCS on presentation was 15/15 but the patient had triplegia in the form of paraplegia & contralateral upper limb monoplegia. The object was retrieved via craniectomy & cortectomy although no clinical recovery was seen post-up or on follow-up. It is a case intriguing & indicative of the unpredictable course of such injuries.

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Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Triplegia Resulting from Penetrating Brain Trauma by a Hand-Held Dagger

Tassadaq,

Shah,

Akhtar

et al. 2023

Pak J Neurol Surg

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“…2) The patient presented with posterior fossa hematoma in the early stage, which might oppress brainstem, leading to disorder of vital signs. However, timely and effective surgical interventions made the patient have a good prognosis [9, 10]. Generally, the goals of surgical intervention for such injury are to: 1) Remove the penetrating object and accompanying necrotic debris around the injury site.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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BackgroundPenetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.Case presentationWe presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.ConclusionsIn this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.

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“…3 CT scan imaging of the brain is the primary modality used for the assessment of PBI. 4 Angiography is essential for vascular injury, depending upon the trajectory of the wound. Magnetic resonance imaging (MRI) is not essential in the initial evaluation of PBI and is contraindicated when ferromagnetic substances are present.…”

Section: Published Onlinementioning

confidence: 99%

Iron Rod Penetrating Head Injury in a Child

Diyora

Gawali

Patel

et al. 2021

Indian Journal of Neurotrauma

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Civilian penetrating brain injury (PBI) is a rare form of traumatic brain injury (TBI) and is rarer in the pediatric population. Pediatric PBI due to various objects has been reported in the literature. Pediatric PBI with an iron rod has not been previously described. We reported a case of civilian penetrating injury in a 6-year-old girl child patient who fell over a projecting iron rod at a construction site from a height of 6 to 8 feet. She was lifted off from the iron rod and taken to the emergency medical services. CT scan of the brain revealed linear intracerebral hemorrhage along the iron rod’s track with a depressed fracture. She underwent emergency surgery because of a compound depressed fracture. She recovered well from his injury without neurological deficit with an excellent clinical outcome.

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Penetrating Brain Injury with a bike key - a case report

Cited by 7 publications

References 4 publications

A Rare Presentation of Triplegia Resulting from Penetrating Brain Trauma by a Hand-Held Dagger

A Rare Presentation of Triplegia Resulting from Penetrating Brain Trauma by a Hand-Held Dagger

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

Iron Rod Penetrating Head Injury in a Child

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