Management of low velocity penetrating brain injury with impacted iron rod: a case report.

Kunj Bihari Saraswat; Varun Agarwal; Ghanshyam Agrawal; Shashi kant Jain

Volume : IX, Issue : VI, June - 2020

Management of low velocity penetrating brain injury with impacted iron rod: a case report.

Kunj Bihari Saraswat, Varun Agarwal, Ghanshyam Agrawal, Shashi Kant Jain

Abstract :

Penetrating ain injury (PBI) is a potentially life threatening condition. PBI with impacted foreign body is very rare. These patients are at very high risk of vascular injury, infection, cereospinal fluid leak and seizures. These patients usually require multidisciplinary approach for better outcome. We are presenting a case of impacted iron rod in left temporal region associated with left orbital apex injury. Urgent craniotomy with removal of impacted iron rod with decompression of optic nerve and dural base repair was done and ophthalmological consultation was taken for vision loss in left eye. There was no sign of infection and CSF leak in the postoperative period. This case is discussed just to throw some light over the recent guidelines regarding management of PBI.