Abstract
BackgroundNon-missile penetrating brain injuries are rarely seen in the surgical practice and few international literatures’ reported case reports or small case series, and it comprises a small percentage of head trauma cases. We reported a group of 18 cases of penetrating injuries with different tools and various mechanisms. We reported their epidemiological criteria, mechanism of trauma, complications, and their prognosis.AimThe purpose of this study is to report different patients’ criteria and the method of trauma and the prognosis.Patients and methodsA retrospective study was done in Trauma unit, Sohag University, between November 2012 and October 2014. Eighteen patients were reported with different mechanisms of trauma. All patients were clinically tested and subjected to CT brain. Cautious removal of the penetrating object with debridement of surrounding tissues was done. Patients were transferred to ICU for 48–72 h.ResultsPatients were subjected to operative intervention, and they were followed up for 3 years. Males were the predominant gender, 13 cases (72.2%), and the young age was higher than the elderly. The Glasgow outcome score was 15 in 13 patients and was 4 in five patients. Transient epileptic fits occurred in six patients and controlled on anti-epileptic drugs. Five patients had a neurological deficit in the form of hemiparesis or monoparesis.ConclusionPenetrating head injuries, although rare, are dangerous and should be cautiously managed and monitored in the ICU. The prognosis depends mainly on initial GCS and ventricular involvement, but in general, the prognosis is favorable.Trial registrationIRB#3747 Registered 27/08/2017
Highlights
Traumatic brain injury (TBI) occurs when there is damage in the brain as a result of physical trauma
Cranial penetrating head injuries often result in severe brain and central nervous system (CNS) structure injuries [2]
Penetrating head trauma is less common than closed head trauma, Penetrating brain injuries (PBI) is associated with worse prognosis and
Summary
Traumatic brain injury (TBI) occurs when there is damage in the brain as a result of physical trauma. TBI may be caused by an open or penetrating head injury, where an object (usually sharp) pierces the skull and invades the brain tissue. TBI may be caused by a closed head injury, in which the skull is intact and is not penetrated. Penetrating head trauma is less common than closed head trauma, PBI is associated with worse prognosis and Traumatic brain injuries (TBI) caused by penetrating objects usually affect adolescents and young adult population, who are economically active, having a major socioeconomic impact. We reported a group of 18 cases of penetrating injuries with different tools and various mechanisms. We reported their epidemiological criteria, mechanism of trauma, complications, and their prognosis. Aim: The purpose of this study is to report different patients’ criteria and the method of trauma and the prognosis
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