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2016 ; 23
(ä): 169-72
Nephropedia Template TP
gab.com Text
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English Wikipedia
Traumatic brain injury with a machete penetrating the dura and brain: Case report
from southeast Mexico
#MMPMID27156252
Del Castillo-Calcáneo JD
; Bravo-Angel U
; Mendez-Olan R
; Rodriguez-Valencia F
; Valdés-García J
; García-González U
; Broc-Haro GG
Int J Surg Case Rep
2016[]; 23
(ä): 169-72
PMID27156252
show ga
INTRODUCTION: Traumatic Brain Injury (TBI) is a major cause of death and
disability in our society, we present the first case report of non-missile
penetrating (NMP) cranial trauma with a machete in Mexico, and our objective by
presenting this case is to prove the usefulness of recently proposed algorithms
in the treatment of NMP PRESENTATION OF CASE: We present the case of a 47 year
old woman who received a machete hit to the right side of her head during an
assault., she arrived fully conscious to the emergency department (ED), computed
tomography was performed and based on the findings of this study and in
accordance to recently proposed algorithms for managing NMP cranial trauma a
craniotomy was performed, at follow-up the patient presented wtih minor
neurological disability in the form of left hemiparesis. DISCUSSION: Non-missile
penetrating (NMP) lesions are defined as having an impact velocity of less than
100m/s, causing injury by laceration and maceration, An algorithm for treating
NMP cranial trauma has been recently published in the Journal World Neurosurgery
by De Holanda et al., in this case we followed the algorithm in order to provide
best care available for our patient with good results. CONCLUSION: The use of
current algorithms for managing NMP cranial trauma has proved to be very useful
when applied on this particular case. GCS on admission is an important prognostic
factor in NMP cranial trauma.