Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions
Penetrating brain injury is a less common form of traumatic brain injury in civilian set up, with a higher mortality and morbidity. A detailed preoperative imaging is warranted to ascertain the extent of injury and involvement of neurovascular structures. We present a rare case of penetrating brain...
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2014-12-01
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145208 |
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doaj-e481902f43084b1fbd0dd9edd6ab0fb42021-04-02T13:44:56ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552014-12-0105S063S06510.4103/0976-3147.145208Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutionsMehul Modi0A. Arivazhagan1Rose Dawn Bharath2Malla Bhaskara Rao3Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, IndiaPenetrating brain injury is a less common form of traumatic brain injury in civilian set up, with a higher mortality and morbidity. A detailed preoperative imaging is warranted to ascertain the extent of injury and involvement of neurovascular structures. We present a rare case of penetrating brain injury with a long machete, who underwent emergency craniotomy, removal of the weapon, debridement and evacuation of the brain contusion and dural repair. Due to the sheer size of the weapon stuck to the calvarium, only X-rays could be performed preoperatively. The difficulties posed by the case, requiring modifications in standard imaging, possible solutions to address the problem and individualized management techniques are discussed in this report.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145208computed tomography scanimagingmanagementpenetrating brain injury |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mehul Modi A. Arivazhagan Rose Dawn Bharath Malla Bhaskara Rao |
spellingShingle |
Mehul Modi A. Arivazhagan Rose Dawn Bharath Malla Bhaskara Rao Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions Journal of Neurosciences in Rural Practice computed tomography scan imaging management penetrating brain injury |
author_facet |
Mehul Modi A. Arivazhagan Rose Dawn Bharath Malla Bhaskara Rao |
author_sort |
Mehul Modi |
title |
Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions |
title_short |
Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions |
title_full |
Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions |
title_fullStr |
Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions |
title_full_unstemmed |
Penetrating brain injury with machete, stuck to calvarium: Hurdles in imaging and solutions |
title_sort |
penetrating brain injury with machete, stuck to calvarium: hurdles in imaging and solutions |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2014-12-01 |
description |
Penetrating brain injury is a less common form of traumatic brain injury in civilian set up, with a higher mortality and morbidity. A detailed preoperative imaging is warranted to ascertain the extent of injury and involvement of neurovascular structures. We present a rare case of penetrating brain injury with a long machete, who underwent emergency craniotomy, removal of the weapon, debridement and evacuation of the brain contusion and dural repair. Due to the sheer size of the weapon stuck to the calvarium, only X-rays could be performed preoperatively. The difficulties posed by the case, requiring modifications in standard imaging, possible solutions to address the problem and individualized management techniques are discussed in this report. |
topic |
computed tomography scan imaging management penetrating brain injury |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145208 |
work_keys_str_mv |
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