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A rare case: Penetrating craneoencefalic trauma by knife


Journal of Neurology & Stroke
Galo Fabián García Ordóñez, Andrea Priscila Guillermo Cornejo, Luis Fernando García Ordóñez, Danny Renán García Ordóñez, Jenner Quilson Aguilar Castillo, Jorge Rodrigo Villacis Sandoval

Abstract

Background: Cranioencephalic penetrating trauma (CPT) is caused by a sharp or shortpointed object that passes through the bone, dura mater, brain and other structures. Its incidence is unknown and few cases are described; penetrating injuries represent 0.4%, therefore there is no protocolized management. Case report: A 24-year-old male patient suffered penetrating trauma at left parietal region with a “knife”; he was sutured and sent home with analgesics. Five days after the trauma, he was admitted for headache, disorientation and decreased visual acuity. X-ray (XR) of Cranium evidencing a foreign body, therefore it is sent to a reference hospital. Evolution: The diagnosis is confirmed by a computerized tomography (CT) scan of the skull with 3-dimensional reconstruction (3D) plus CT angiography (angio CT), which shows “knife” in the left parietal region without vascular compromise. Neurosurgeons perform removal of the foreign body plus a dura mater plasty. Patient stay 12 days hospitalized with a favorable evolution and improvement of neurological symptomatology. Conclusion: CPT due to a knife is an emergency and there is no protocolized management. The removal of the foreign body must be done in a hospital for the risk of lesions of large vessels.

Keywords

craniocerebral trauma, post-head injury; gun violence, knife, craniotomy, cerebral hemorrhage

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