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

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. © 2022 Scientific Scholar. All rights reserved.

Authors
De Jesus Encarnacion-Ramirez M. , Aquino A.A.2 , Castillo R.E.B. 1 , Melo-Guzmán G.3 , López-Vujnovic D.3 , Blas A.3 , Acosta-Garcés R.3 , Bernés-Rodríguez M.3 , Guerra R.M.3 , Ayala-Arcipreste A.3 , Nurmukhametov R. 1 , Efe I.E.4, 5
Publisher
Scientific Scholar
Language
English
Status
Published
Number
49
Volume
13
Year
2022
Organizations
  • 1 Department of Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
  • 2 Department of Neurosurgery, International Center for Neurological Restoration, Havana, Cuba
  • 3 Department of Neurosurgery, Hospital Juárez de México, Mexico, Mexico
  • 4 Charité - Universitatsmedizin Berlin, corporate member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Berlin Institute of Health, Berlin, Germany
  • 5 Centre for Surgery Zurich, Klinik Hirslanden, Zurich, Switzerland
Keywords
Drill bit injury; Head trauma; Penetrating injury; Skull base; Traumatic brain injury
Date of creation
06.07.2022
Date of change
06.07.2022
Short link
https://repository.rudn.ru/en/records/article/record/84266/
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