A case of successful surgical treatment of a heavy penetrating mine blast brain wound

This is an observation of a heavy penetrating fragment mine blast brain wound.A fragment passed through the right and left cerebral hemispheres, caused heavy brain injuries, intracranial hematomas, blast skull base fractures and buttonhole vault fractures, falx and intracranial vessels in...

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Main Author: Andriy Sirko
Format: Article
Language:English
Published: Romodanov Neurosurgery Institute 2015-09-01
Series:Ukrainian Neurosurgical Journal
Online Access:https://theunj.org/article/view/50275
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author Andriy Sirko
author_facet Andriy Sirko
author_sort Andriy Sirko
collection DOAJ
description This is an observation of a heavy penetrating fragment mine blast brain wound.A fragment passed through the right and left cerebral hemispheres, caused heavy brain injuries, intracranial hematomas, blast skull base fractures and buttonhole vault fractures, falx and intracranial vessels injuries. The entrance wound was located in the left temporal area, and the exit wound in the right frontal area. The wound tract had signs of a penetrating diametric wound.The penetrating wound manifested itself in the patient’s extremely critical condition, deep coma, and vital functions disorder. The study also revealed combined trunk and extremities injuries.An extended initial surgical brain wound debridement was done, which included brain decompression, wound sanation, skull base and dural reconstruction, and tidal drainage.The patient was transferred to a military hospital with improvements for further rehabilitation treatment. The timely and complete surgical treatment allowed for an effective management of intracranial hypertension and prevented pyoinflammatory complications.
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spelling doaj.art-f864bf749304478d93c9e3792f1d3b922024-01-23T13:31:37ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922015-09-013768010.25305/unj.50275A case of successful surgical treatment of a heavy penetrating mine blast brain woundAndriy Sirko0https://orcid.org/0000-0001-6536-2035Dnеpropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine This is an observation of a heavy penetrating fragment mine blast brain wound.A fragment passed through the right and left cerebral hemispheres, caused heavy brain injuries, intracranial hematomas, blast skull base fractures and buttonhole vault fractures, falx and intracranial vessels injuries. The entrance wound was located in the left temporal area, and the exit wound in the right frontal area. The wound tract had signs of a penetrating diametric wound.The penetrating wound manifested itself in the patient’s extremely critical condition, deep coma, and vital functions disorder. The study also revealed combined trunk and extremities injuries.An extended initial surgical brain wound debridement was done, which included brain decompression, wound sanation, skull base and dural reconstruction, and tidal drainage.The patient was transferred to a military hospital with improvements for further rehabilitation treatment. The timely and complete surgical treatment allowed for an effective management of intracranial hypertension and prevented pyoinflammatory complications.https://theunj.org/article/view/50275
spellingShingle Andriy Sirko
A case of successful surgical treatment of a heavy penetrating mine blast brain wound
Ukrainian Neurosurgical Journal
title A case of successful surgical treatment of a heavy penetrating mine blast brain wound
title_full A case of successful surgical treatment of a heavy penetrating mine blast brain wound
title_fullStr A case of successful surgical treatment of a heavy penetrating mine blast brain wound
title_full_unstemmed A case of successful surgical treatment of a heavy penetrating mine blast brain wound
title_short A case of successful surgical treatment of a heavy penetrating mine blast brain wound
title_sort case of successful surgical treatment of a heavy penetrating mine blast brain wound
url https://theunj.org/article/view/50275
work_keys_str_mv AT andriysirko acaseofsuccessfulsurgicaltreatmentofaheavypenetratingmineblastbrainwound
AT andriysirko caseofsuccessfulsurgicaltreatmentofaheavypenetratingmineblastbrainwound