ANAESTHETIC MANAGEMENT OF PENETRATING BRAIN INJURY CAUSED BY A FOREIGN BODY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 13
Abstract
PRESENTATION OF CASE A 23-year-old male patient referred to tertiary care centre presented in the emergency department with a history of road traffic accident with traumatic metallic foreign body injury brain. The patient had post traumatic loss of consciousness, 2 episodes of vomiting. CLINICAL DIAGNOSIS A 23 year old male presented in the emergency department with a history of road traffic accident with traumatic metallic foreign body injury brain. The patient had post traumatic loss of consciousness, 2 episodes of vomiting with GCS E1V1M2, no other external injuries were noted. On examination Pulse- 110/min, B.P.- 96/58 mmHg, SpO2-94% room air. Systemic Examination- CVS -S1 S2, RS-Air entry equal, basal crepts ++, Routine blood investigations, coagulation profile were normal. Skull X-ray showed a vertically oriented radio-opaque nail penetrating the skull and into the brain parenchyma. CT Brain: - Foreign body with metallic artifact in right parietal region with entry through bone with right ventricular haemorrhage.
Authors and Affiliations
Niti Dalal, Naveen Kundilmadom Vijayan
Keywords
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- EP ID EP541466
- DOI 10.18410/jebmh/2018/252
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