步枪杆导致的经颅底穿透性创伤性脑损伤：一例报告。
Transbasal penetrating traumatic brain injury caused by a rifle rod: A case report.
作者信息
Al-Alousi Hisham Maddah, Al-Kubaisi Kamal T, Ismail Mustafa, Al-Ageely Teeba A, Abdulameer Aanab O, Aluaibi Sajjad A, Al-Taie Rania H, Hoz Samer S
机构信息
Departement of Neurosurgery, AL-Ramadi Teaching Hospital, Al-Anbar, Iraq.
Departement of Neurosurgery, College of Dentistry, Al-Anbar University, Al-Anbar, Iraq.
出版信息
Surg Neurol Int. 2022 Nov 25;13:555. doi: 10.25259/SNI_695_2022. eCollection 2022.
BACKGROUND
Penetrating traumatic brain injury (TBI) caused by a low-velocity object is a rare entity with a potential range of critical complications.
CASE DESCRIPTION
We report a unique case of a 30-year-old male presenting with penetrating TBI caused by a rifle's cleaning rod. The rod passes through the left nostril to reach the frontal lobe after transgressing the sella turcica. A cranial computed tomography scan shows the extension of brain damage and the trajectory of the rod with no evidence of an associated vascular injury. Surgical removal of the rifle rod was performed using a transnasal approach by a multidisciplinary with the postoperative course went uneventfully.
CONCLUSION
Transbasal penetrating TBI through the nose is an extremely rare entity. This type of head injury carries its own peculiarities that deviate from the classic treatment algorithms.
背景
低速物体导致的穿透性创伤性脑损伤（TBI）是一种罕见的情况，可能会引发一系列严重并发症。
病例描述
我们报告了一例独特的病例，一名30岁男性因步枪清洁杆导致穿透性TBI。清洁杆经蝶鞍穿过左鼻孔后抵达额叶。头颅计算机断层扫描显示脑损伤范围及清洁杆的轨迹，未发现相关血管损伤迹象。多学科团队采用经鼻入路手术取出步枪清洁杆，术后过程顺利。
结论
经鼻基底穿透性TBI极为罕见。这种类型的头部损伤有其自身特点，与经典治疗算法不同。
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