| [A Case of a Penetrating Brain Injury due to an Explosion of a Construction Machine]. | |
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MedLine Citation:
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PMID: 22538284 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Penetrating brain injury caused by a high speed projectile is rather rare in Japan, known for its strict gun-control laws. We report a case of a 55-year-old male, who was transferred to our hospital with a foreign body in the brain due to penetrating head injury, which was caused by an explosion of a construction machine. Neurological examination demonstrated severe motor aphagia with no apparent motor paresis. The patient had a scalp laceration on his left forehead with exposed cerebral tissue and CSF leakage. Head CT scan and plain skull X-ray revealed a 20 mm×25 mm bolt which had penetrated due to the explosion of the machine. The anterior wall of the left frontal sinus was fractured resulting in dural laceration, and scattered bone fragments were seen along the trajectory of the bolt. Digital subtraction angiography showed no significant vascular injuries including superior sagittal sinus. We performed open surgery, and successfully removed the bolt along with the damaged frontal lobe. The patient had no infection or seizure after the surgery, and was transferred for further rehabilitation therapy. We performed a cosmetic cranioplasty six months later. Surgical debridement of the damaged cerebral tissue along the trajectory led to successful removal of the bolt with no further neurological deficit. |
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Authors:
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Kenji Ibayashi; Kazuo Tsutsumi; Gakushi Yoshikawa; Takeshi Uno; Shiko Shimada; Mariko Kawashima; Satoshi Koizumi; Yushi Ochiai |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: No shinkei geka. Neurological surgery Volume: 40 ISSN: 0301-2603 ISO Abbreviation: No Shinkei Geka Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-04-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0377015 Medline TA: No Shinkei Geka Country: Japan |
Other Details:
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Languages: jpn Pagination: 421-7 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Showa General Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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