Garg Rajveer, Wadhwa Chetan, Kaushal Rakesh, Singh Jagminder
Department of Neurosurgery, IVY Hospital, Panchkula, Haryana, India.
Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Asian J Neurosurg. 2020 Oct 19;15(4):1034-1036. doi: 10.4103/ajns.AJNS_89_16. eCollection 2020 Oct-Dec.
Traumatic stab injury/wounds to the brain are rare type of injuries having fatal outcomes. In the present case report, we report a case of a 17-year-old male who presented to the accident and emergency department of our hospital with an alleged history of assault due to a vegetable cutting knife with the knife lying in the right temporal region. In these types of injuries, no attempt should be made to remove the weapon without adequate investigations and facilities as it can be fatal. While removing the weapon, care should be taken that there is no rocking or zigzag movement and the weapon should be retrieved back from the same trajectory. The underlying principles in these types of cases include thorough debridement of the wound with removal of dead tissue with no rocking movement while retrieving the weapon. The wound should be thoroughly closed to prevent postoperative cerebrospinal fluid leak.
创伤性脑刺伤/伤口是一种罕见的具有致命后果的损伤。在本病例报告中,我们报告了一名17岁男性,他因据称被蔬菜刀袭击而被送往我院急诊科,刀位于右侧颞区。在这类损伤中,在没有充分检查和设备的情况下,不应试图取出武器,因为这可能是致命的。取出武器时,应注意不要有摇晃或曲折动作,武器应沿相同轨迹取回。这类病例的基本原则包括彻底清创伤口,清除坏死组织,取回武器时不要摇晃。伤口应彻底缝合,以防止术后脑脊液漏。