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Surgical management of a penetrating drill bit injury to the skull base.
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.
Afiliação
  • Encarnacion-Ramirez MJ; Department of Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation.
  • Aquino AA; Department of Neurosurgery, International Center for Neurological Restoration, Havanna, Cuba, Mexico.
  • Castillo REB; Department of Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation.
  • Melo-Guzmán G; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • López-Vujnovic D; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Blas A; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Acosta-Garcés R; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Bernés-Rodríguez M; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Guerra RM; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Ayala-Arcipreste A; Department of Neurosurgery, Hospital Juárez de México, Mexico-City, Mexico.
  • Nurmukhametov R; Department of Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation.
  • Efe IE; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Surg Neurol Int ; 13: 49, 2022.
Article em En | MEDLINE | ID: mdl-35242415
BACKGROUND: 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. CASE DESCRIPTION: 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. CONCLUSION: Timely access to neuroimaging diagnostics and microneurosurgical facilities allows for good outcomes in the surgical treatment of low-velocity penetrating brain injuries.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2022 Tipo de documento: Article País de publicação: Estados Unidos