Surgical management of a penetrating drill bit injury to the skull base

Media type: E-Article
Title: Surgical management of a penetrating drill bit injury to the skull base
Contributor: Encarnacion-Ramirez, Manuel De Jesus; Aquino, Amaya Alvarez; Castillo, Rossi Evelyn Barrientos; Melo-Guzmán, Gustavo; López-Vujnovic, Durdica; Blas, Agustin; Acosta-Garcés, Rubén; Bernés-Rodríguez, Miguel; Guerra, Rafael Mendizabal; Ayala-Arcipreste, Arturo; Nurmukhametov, Renat; Efe, Ibrahim E.
Published: Scientific Scholar, 2022
Published in: Surgical Neurology International, 13 (2022), Seite 49
Language: English
DOI: 10.25259/sni_1229_2021
ISSN: 2152-7806
Origination:
Footnote:
Description: <jats:sec id="st1"> <jats:title>Background: </jats:title> <jats:p>Low-energy penetrating brain injuries are rarely encountered in neurosurgical practice. Immediate surgical management remains the primary treatment strategy to control potential bleeding and prevents infectious complications.</jats:p> </jats:sec> <jats:sec id="st2"> <jats:title>Case Description: </jats:title> <jats:p>A 28-year-old man presented with an orbital injury with left-sided chemosis, amaurosis, and ophthalmoplegia following an assault. Cranial CT revealed an industrial drill bit causing a penetrating injury to the skull base. The tip of the object reached the petrous apex. CT angiography showed no signs of cerebrovascular damage. The drill bit was visualized through a frontotemporal craniotomy. It was then carefully removed under direct microscopic vision. Postoperative ceftriaxone was administered. The patient was discharged in good condition on postoperative day 6. His vision impairment remained.</jats:p> </jats:sec> <jats:sec id="st3"> <jats:title>Conclusion: </jats:title> <jats:p>Timely access to neuroimaging diagnostics and microneurosurgical facilities allows for good outcomes in the surgical treatment of low-velocity penetrating brain injuries.</jats:p> </jats:sec>
Access State: Open Access

Search in field:

Recently searched for: