Abstract
Penetrating brain injury is a less common form of traumatic brain injury in civilian set up, with a higher mortality and morbidity. A detailed preoperative imaging is warranted to ascertain the extent of injury and involvement of neurovascular structures. We present a rare case of penetrating brain injury with a long machete, who underwent emergency craniotomy, removal of the weapon, debridement and evacuation of the brain contusion and dural repair. Due to the sheer size of the weapon stuck to the calvarium, only X-rays could be performed preoperatively. The difficulties posed by the case, requiring modifications in standard imaging, possible solutions to address the problem and individualized management techniques are discussed in this report.
Copyright
Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-Non Derivative-Non Commercial License, permitting copying and reproduction so long as the original work is given appropriate credit.
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
