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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Main Authors: Mehul Modi, A. Arivazhagan, Rose Dawn Bharath, Malla Bhaskara Rao
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-12-01
Series:Journal of Neurosciences in Rural Practice
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.145208
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spelling 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 AT mehulmodi penetratingbraininjurywithmachetestucktocalvariumhurdlesinimagingandsolutions
AT aarivazhagan penetratingbraininjurywithmachetestucktocalvariumhurdlesinimagingandsolutions
AT rosedawnbharath penetratingbraininjurywithmachetestucktocalvariumhurdlesinimagingandsolutions
AT mallabhaskararao penetratingbraininjurywithmachetestucktocalvariumhurdlesinimagingandsolutions
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