Document Detail

Penetrating brain injury after suicide attempt with speargun: case study and review of literature.
MedLine Citation:
PMID:  25071701     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Penetrating cranial injury by mechanisms other than gunshots are exceedingly rare, and so strategies and guidelines for the management of PBI are largely informed by data from higher-velocity penetrating injuries. Here, we present a case of penetrating brain injury by the low-velocity mechanism of a harpoon from an underwater fishing speargun in an attempted suicide by a 56-year-old Caucasian male. The case raised a number of interesting points in management of low-velocity penetrating brain injury (LVPBI), including benefit in delaying foreign body removal to allow for tamponade; the importance of history-taking in establishing the social/legal significance of the events surrounding the injury; the use of cerebral angiogram in all cases of PBI; advantages of using dual-energy CT to reduce artifact when available; and antibiotic prophylaxis in the context of idiosyncratic histories of usage of penetrating objects before coming in contact with the intracranial environment. We present here the management of the case in full along with an extended discussion and review of existing literature regarding key points in management of LVPBI vs. higher-velocity forms of intracranial injury.
John R Williams; Daniel M Aghion; Curtis E Doberstein; G Rees Cosgrove; Wael F Asaad
Publication Detail:
Type:  Journal Article     Date:  2014-07-07
Journal Detail:
Title:  Frontiers in neurology     Volume:  5     ISSN:  1664-2295     ISO Abbreviation:  Front Neurol     Publication Date:  2014  
Date Detail:
Created Date:  2014-07-29     Completed Date:  2014-07-29     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  101546899     Medline TA:  Front Neurol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  113     Citation Subset:  -    
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