Penetrating brain injury caused by nail of pneumatic gun

Czech version

Authors: Vladimír Přibáň; Ondřej Teplý
Authors‘ workplace: Department of Neurosurgery, Hospital České Budějovice, Czech Republic ; Neurochirurgické oddělení, Nemocnice České Budějovice a. s.
Published in: Úraz chir. 14., 2006, č.4

Overview

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.

Sources

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Labels

Surgery Traumatology Trauma surgery

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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

Article was published in

Trauma Surgery

2006 Issue 4