Penetrating brain injury caused by nail of pneumatic gun
Authors:
Vladimír Přibáň; Ondřej Teplý
Authors place of work:
Department of Neurosurgery, Hospital České Budějovice, Czech Republic
; Neurochirurgické oddělení, Nemocnice České Budějovice a. s.
Published in the journal:
Úraz chir. 14., 2006, č.4
Summary
In this casereport the authors describe a 29yearold man of Ukrainian origin. His brain was injured with a nail of pneumatic gun. Patient was conscious after injury, Glasgow Coma Scale score of 15, without neurological deficit. The only symptom was headache. CT scan revealed the presence of nail intracranialy, trajectory of which went through nasal cavity, anterior skull base, frontal lobes and the tip reached anterior part of Willis circle in the level of anterior communicating artery. Nail removal has been performed under control of both anterior cerebral arteries with use of pterional craniotomy. Dural defect was covered by dural substitute and sealed using fibrin glue. Primary healing was achieved and the patient was discharged home without neurological deficit.
Key words:
penetrating brain injury, missile injury, Pneumatic gun, nail.
Zdroje
1. BEAVER, A.C, CHEATHAM, M.L. Lifethreatening nailgun injuries. Am Surg. 1999, 65, 1113–1116.
2. HOLMES, B., HARBAUGH, R.E. Traumatic intracranial aneurysms: a contemporary review. J Trauma. 1993, 35, 855–860.
3. MRAČEK, Z. Kraniocerebrální poranění. Praha: Avicenum, 1988, 116–130.
4. MUSA, B.S., SIMPSON, B.A., HARTFIELD, R.D. Recurrent selfinflicted craniocrebral injury: case report and review of the literature. Br J Neurosurg. 1997, 11, 564–569.
5. SHAKIR, A., KOEHLER, S.A., WECHT, CH. A review of nail gun suicides and an atypical case report. J Forensic Sci. 2003, 48, 409–413.
6. SMRČKA, M. Poranění mozku. Praha: Grada Publishing s.r.o, 2001. 272 s.
7. TANCIONI, F., GAETANI, P. et al. Intracranial nail. A case report. J Neurosurg Sci. 1994, 38, 239–243.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2006 Číslo 4
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- Possibilities of Using Metamizole in the Treatment of Acute Primary Headaches
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
Najčítanejšie v tomto čísle
- LIMITED DORSAL SURGICAL APPROACH FOR THE SCAPHOID FRACTURES OSTEOSYNTHESIS
- The Arthroscopic Reconstruction of the Anterior Cruciate Ligament Using Semitendinosus Tendon with Endobutton Position – Evaluation 5 Years after the Surgery
- EFFECT OF ISOVOLEMIC HAEMODILUTION IN NONANEMIC PATIENTS UNDERGOING TOTAL HIP REPLACEMENT
- Penetrating brain injury caused by nail of pneumatic gun