Clinical features and removal strategies of intracranial foreign bodies
10.3760/cma.j.issn.1001-8050.2013.3.011
- VernacularTitle:颅内异物的临床特点及摘除策略
- Author:
Shenqi ZHANG
;
Qianxue CHEN
;
Zhibiao CHEN
;
Biquan ZHENG
;
Daofeng TIAN
;
Qiang CAI
;
Bin PENG
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Foreign bodies,intracranial;
Prognosis
- From:
Chinese Journal of Trauma
2013;(3):233-235
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical features,diagnosis,clearance strategies and prognosis of intracranial foreign bodies.Methods Twenty patients with intracranial foreign bodies were analyzed retrospectively,together with review of the related literatures.Results Twenty patients underwent craniotomy for intracranial foreign body removal under guidance of preoperative CT and X-ray localizations and intraoperative C-arm X-ray machine and ultrasound localizations.A total of 35 foreign bodies were removed.One patient underwent second surgical resection after the incomplete removal due to displacement of intracranial foreign bodies.According to Glasgow outcome score (GOS) at discharge,the outcomes were good (GOS =4-5 points) in 16 patients,poor (GOS =2-3 points) in three and death (GOS =1 point) in one.Conclusions CT and X-ray locations before surgery and C-ann X-ray machine and ultrasound locations in operation avail the removal of foreign bodies by craniotomy.In the meantime,prognosis is satisfactory.
