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Gaceta Médica Espirituana
On-line version ISSN 1608-8921
Abstract
VERA PEREZ, Francisco Javier; ALVAREZ RODRIGUEZ, Ariel; ALPIZAR OLIVERA, Lisdanis and LEIVA FARINAS, Javier Alejandro. Penetrating injuries in the brain by intracranial foreign bodies. Presentation of three cases. Gac Méd Espirit [online]. 2014, vol.16, n.3, pp. 01-09. ISSN 1608-8921.
Background: Penetrating brain injuries due to foreign objects including gunshot wounds are commonly seen in war times. Injuries not caused by gunshot are rare in neurosurgical practice in civil lifetime in peace times. Objective: To illustrate the clinical forms and the evaluation of penetrating brain injuries not caused by ammunitions of firearms in peacetime, through the presentation of three cases. Cases presentation: We report three patients with intracranial foreign bodies, the first during suicide attempt was introduced via burr hole metal object (copper wire); the second case, the patient suffered head injury and underwent computed tomography of the skull and the presence of acute subdural hematoma and intracranial foreign body (piece of wire) was detected; the third case involves prisoner who suffered injury during a fight with intracranial penetration of a foreign body (nail). Conclusions: Urgently surgical intervention in these patients and their neurological status entering the operating room impacted decisively in their evolution.
Keywords : head injuries penetrating; foreign bodies; surgery.