Particular Surgical Technique for Transorbital—Penetrating Craniocerebral Injury Inflicted by a Screwdriver: Technical Case Report
10.13004/kjnt.2023.19.e35
- Author:
Dewa Putu WISNU WARDHANA
1
;
Christopher LAUREN
;
Steven AWYONO
;
Rohadi Muhammad ROSYIDI
;
Tiffany TIFFANY
;
Sri MALIAWAN
Author Information
1. Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Academic Hospital of Universitas Udayana, Badung, Bali, Indonesia
- Publication Type:Case Report
- From:Korean Journal of Neurotrauma
2023;19(3):356-362
- CountryRepublic of Korea
- Language:English
-
Abstract:
Surgical techniques for non-missile penetrating brain injuries (PBI) are challenging because they require good preoperative planning. Generally, extraction is performed ipsilaterally at the entry site. In certain cases, the extraction can be performed contralaterally through the inner end of the foreign body; however, this requires special consideration. We present a case report of a patient who had a stab wound on the head via a screwdriver and underwent surgery, during which extraction was performed contralaterally through the inner end of the screwdriver without inducing any neurological deficit. Careful preoperative planning and surgical technique modification are required to minimize morbidity and mortality in patients with PBIs.
