Lee Wei Lun, Alias Azmi, Lim Mei Sin
Neurosurgery Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Asian J Neurosurg. 2024 Oct 3;19(4):816-824. doi: 10.1055/s-0044-1791582. eCollection 2024 Dec.
Blast-related traumatic brain injuries (bTBIs), once considered the signature wound of wars, have increasingly affected civilian populations due to the rise in terrorist attacks and industrial accidents. These injuries are complex, resulting from a combination of primary blast effects, secondary projectiles, tertiary impacts, and quaternary injuries from burns and toxic gas inhalation. Understanding the clinical presentation, management strategies, and outcomes of bTBIs is essential for enhancing patient care and improving prognosis. We report a case of industrial-related severe bTBI with opened depressed skull fracture and intracranial hematoma. The patient underwent decompressive craniectomy and evacuation of clot but postoperatively had a stormy recovery and multiple complications. He eventually succumbed due to his complications. This underscores the complexity of bTBIs and highlights the importance of a multidisciplinary approach in the management of bTBIs. Further research is needed to optimize treatment protocols and rehabilitation strategies for individuals with bTBIs.
爆炸相关的创伤性脑损伤（bTBIs）曾被视为战争的标志性创伤，由于恐怖袭击和工业事故的增加，越来越多地影响到平民群体。这些损伤很复杂，是由原发性爆炸效应、继发性投射物、三次撞击以及烧伤和吸入有毒气体导致的四次损伤共同造成的。了解bTBIs的临床表现、管理策略和预后对于加强患者护理和改善预后至关重要。我们报告一例与工业相关的严重bTBI病例，伴有开放性凹陷性颅骨骨折和颅内血肿。患者接受了去骨瓣减压术和血块清除术，但术后恢复过程波折且出现多种并发症。他最终因并发症死亡。这凸显了bTBIs的复杂性，并强调了多学科方法在bTBIs管理中的重要性。需要进一步研究以优化bTBIs患者的治疗方案和康复策略。
