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Rational design of secondary operation for penetrating head injury:A case report

Chinese Journal of Traumatology 2020年第2期23卷 84-88页

作者： Yi-Kai Yuan Tong Sun Yi-Cheng Zhou Xue-Pei Li Hang Yu Jun-Wen Guan Department of Neurosurgery West China HospitalSichuan UniversityChengdu610041 China Health Ministry Key Laboratory of Chronobiology College of Basic Medicine and Forensic MedicineSichuan UniversityChengdu610041 China

penetrating head injury is rare,and thus management of such injuries is *** diagnosis and intraoperative comprehensive exploration are necessary considering the complexity and severity of the ***,because of the lack of microsurgical techniques in local hospitals,the possible retained foreign bodies and other postoperative complications such as cerebrospinal fluid(CSF)leak usually require a rational design for a secondary operation to deal *** present a case of a 15-year-old boy who was stabbed with a bamboo stick in his left *** chopsticks passed through the orbit roof and penetrated the skull *** subsequent days,the patient sustained CSF leak and intracranial infection after an unsatisfied primary treatment in the local hospital and had to request a secondary operation in our *** tomography including plain scan,three dimension recon-struction and computed tomographic angiography are used to determine the course and extent of head injury.A frontal craniotomy was *** pieces of stick were found residual and removed with the comminuted orbit bone fragments.A pedicled temporalis muscle fascia graft was applied to repair the frontier skull base and a free temporalis muscle flap to seal the frontal sinus *** broad-spectrum antibiotics of vancomycin and meropenem were administrated for persistent fever after *** external drainage system continued for 12 days,and was removed 10 days after tem-perature returned to *** Glasgow coma scale score was improved to 15 at postoperative day 7 and the patient was discharged at day 22 *** believe that appropriate preoperative surgical plan and thorough surgical exploration by microsurgery is essential for attaining a favorable outcome,especially in secondary *** postoperative recovery depends on successfully management before and after operation for possible complications as well.

关键词： Rational design Secondary operation penetrating head injury Skull base fracture

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About an Observation of a Child penetrating Brain injury by Knife

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Open Journal of Modern Neurosurgery 2021年第4期11卷 267-271页

作者： Noukhoum Koné Issa Sarki Souleymane Badra Aliou Koné Daouda Sissoko Valentin Tokpa Ahmed Salem Kleib Outouma Soumaré Aderehime Haidara Department of Neurosurgery Kiffa Hospital Center Kiffa Mauritania Department of Neurosurgery Yopougon Hospital Center Abidjan Ivory Coast Department of Neurosurgery Ongwediva Medipark Hospital Ongwediva Namibia

Background: Reported cases of knife injuries to the head in children are rare. Here we describe a case of pediatric penetrating brain injury by knife (PPBIK) and review literature. The patient’s parents were informed that non-identifying information from the case would be submitted for publication, and they provided consent. Case Presentation: A 3-year-old boy presented to our emergency department with a knife penetrating the front of his head during play. Neurologic examination was normal. Radiograph in lateral view demonstrated a metallic knife entering frontal bone. Computed tomography (CT) scan showed small hemorrhage around the foreign body recognized, accompanied by small pneumocephalus. The knife was surgically removed and the dura was closed. He was discharged home after the surgery with normal neurological status. Conclusion: Only four cases of PPBIK have been reported in the literature. The adequate management of these types of injuries requires a correct neuroradiological evaluation.

关键词： Craniocerebral Trauma penetrating head injury Traumatic Brain injury Wound Stab

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A Late-Onset Seizure Due to a Retained Intracranial Foreign Body——Pencil Lead:A Case Report and Review

A Late-Onset Seizure Due to a Retained Intracranial Foreign ...

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2014浙江省神经外科学学术年会

作者： Qian Chunhua Wu Qun

A 40-year-old man presented with recent recurrent *** was operated on to resect the right temporal mass with a foreign body,a pencil *** foreign body had entered the brain parenchyma for an accident in a child without apparent head injury,sustained for30 *** was asymptomatic for the intervening 30 *** is rare that a pencil lead totally penetrated with an inapparent transtemporal closed head *** case may caution neurosurgeons to make the complete diagnosis of retained intracranial foreign bodies and thinking of need for early surgical exploration,to avoid chronic and potentially life-threatening neurological complications.

关键词： penetrating head injury intracranial foreign body pencil lead lateonset seizure neurosurgical procedure

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