Management Of Penetrating Brain Injury Research Articles

Ethical Issues Regarding Neurosurgical Management ofPenetrating Brain Injury inthe French Armed Forces.

Combat penetrating brain injury (PBI) differs significantly from PBI in civilian environments. Differences include technical factors such as the weapons involved, strained resource environments, and limited medical materials and human resources available. Ethical issues regarding the management of PBI in military settings may occur. This case study examines the case of a 20-year-old member of the French Armed Forces that suffered a penetrating brain injury in a combat situation. The four-quadrant method along with the four principles of medical ethics (respect for autonomy, beneficence, nonmaleficence, and justice) was used to analyze this case and to apply ethics to the practice of military medicine. Nowadays, we possess the medical and surgical resources as well as the aeromedical evacuation capability to save the life of a soldier with a penetrating craniocerebral wound. Nonetheless, the functional outcome of this type of wound places military doctors in an ethical dilemma. The line of conduct and clinical protocol established by the French Medical Health Service is to manage all PBIs when the patient's life can be saved and to provide all available financial and social support for the rehabilitation of patients and their family.

Management of Eight Hand Drill Nails Induced Penetrating Brain Injury

Abstract Background Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with hand drill while working in a factory is a peculiar accident. Because of its rarity and lack of standard protocol management, the management of PBI is complex. Case Presentation We presented a case of a 26-year-old male with alleged history of insertion of eight nails from a hand drill machine from right side of head while working in a factory accompanied by loss of consciousness and history of vomiting. Computer tomography demonstrated that nails passed through the right parietal bone and reached up to contralateral hemisphere and posterior cranial fossa. Removal of nails and hematoma evacuation was done timely that led the patient to have a good postoperative recovery. Conclusion In this case report, we discussed the successful management of a very rare penetrating head injury with a hand drill machine. The goal of this case report is to demonstrate the general management principles in PBI that can improve the patient outcome.

Self-inflicted penetrating brain injury by an iron rod in a psychiatric patient: Case report and literature review

In day to day clinical practice, closed brain injuries outnumber penetrating brain injuries (PBIs). Although PBIs can happen in industrial accidents, car accidents, fall accidents or criminal activities, it is rare to see such episodes in civilian practice. An interesting case of self-inflicted PBI by an iron rod in a psychiatric patient is being reported here. An iron rod approximately 15 cm long was driven inside the brain in an attempt to commit suicide by a 24-year-old female schizophrenic patient. After investigating the patient by plain X-ray and computed tomography (CT) scan, she was operated by the neurosurgical team and the rod was removed successfully. The post-operative period was uneventful. She was given medical and psychiatric care along with psychological counselling in post-operative phase. The principles of management of PBI with particular importance of suicide precaution in psychiatric patients are briefly reviewed in this paper.