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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Trauma+Case+Rep
2018 ; 14
(ä): 11-19
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Perforating head injury with iron rod and its miraculous escape: Case report and
review of literature
#MMPMID29644302
Diyora B
; Kotecha N
; Mulla M
; Dethe S
; Bhende B
; Patil S
Trauma Case Rep
2018[Apr]; 14
(ä): 11-19
PMID29644302
show ga
Civilian perforating head injury is rare. Because rarity of this injury, there is
no standard management protocol. We report a case of perforating head injury with
iron rod, review the literature on the subject and discuss the challenges in the
management of such case. We have not found similar case in the literature.
Civilian perforating head injury is rare. A 25-year-male brought to the emergency
department with approximately two feet perforating iron rod in the head, entering
via frontal region, left side of midline and coming out of the occipital region.
He developed right sided hemiplegia and global aphasia. He underwent series of
imaging for the evaluation of the course of the iron rod and injury sustained
because of it. Under strict aseptic precaution, iron rod removed in the operation
theater. His clinical condition improved over a period of three weeks. At one
year follow up- he had almost normal speech and language functions and was able
to walk without support. This case illustrates the possibility of bizarre type of
such injury in the presence of protective helmet and challenges in the
management. Preoperative planning on the basis of images, prophylactic
antibiotics and anticonvulsant medications, cleaning of the objects with
antiseptic solutions, anterograde extraction after adequate exposure around entry
and exit points resulted in good clinical outcome after successful removal of the
rod.