Hussain Manzar, Bari Muhammad-Ehsan
Department of Neurosurgery, Dow University of Health Sciences, Karachi 75300, Pakistan.
Chin J Traumatol. 2013;16(1):51-3.
Penetrating cerebral injuries caused by foreign bodies are rare in civilian neurosurgical trauma, although there are various reports of blast or gunshot injuries in warfare due to multiple foreign bodies like pellets and nails. In our case, a 30-year-old man presented to neurosurgery clinic with signs and symptoms of right-sided weakness after suicide bomb attack. The skull X-ray showed a single intracranial nail. Small craniotomy was done and the nail was removed with caution to avoid injury to surrounding normal brain tissue. At 6 months'follow-up his right-sided power improved to against gravity.
异物所致穿透性脑损伤在普通神经外科创伤中较为罕见，不过有诸多关于战争中因弹丸和钉子等多种异物导致爆炸伤或枪伤的报道。在我们的病例中，一名30岁男性在自杀式炸弹袭击后出现右侧肢体无力的症状和体征，前往神经外科诊所就诊。头颅X线显示颅内有一枚钉子。进行了小骨窗开颅手术，并小心地取出了钉子，以避免损伤周围正常脑组织。在6个月的随访中，他右侧肢体力量恢复到能抗重力。
