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A Case of Impalement Brain Injury That Could Achieve Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategy
المؤلفون المشاركون
Takayama, Wataru
Yamasaki, Kaho
Endo, Akira
Otomo, Yasuhiro
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-04-01
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Impalement brain injury is rare, and the initial management of this condition is not well-established.
We present a case of a well-managed brain injury caused by impalement with a metal bar.
A 29-year-old man whose head had been impaled by a metal bar was transferred to our hospital.
Upon arrival, he was agitated, with an unsteady gait and prominent odor of alcohol on his breath.
He exhibited normal vital signs and neurological findings, except for his level of consciousness.
To address the risk of secondary brain injury caused by movement of the foreign body, we immediately administered a sedative agent and muscle relaxant after the initial neurological evaluation.
The imaging evaluation revealed the insertion of a metal bar into the right frontal lobe at a depth of >100 mm through the frontal bone; however, there was no apparent major vessel injury-related complication.
Three hours after arrival at the hospital, a craniotomy was performed to remove the foreign body.
The patient’s postoperative course was uneventful, and he was discharged after rehabilitation without any neurological deficits.
The strategy of immediate immobilization to prevent the secondary brain injury is important in the initial management of a patient who has survived an impalement brain injury and presented to an emergency department.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Takayama, Wataru& Yamasaki, Kaho& Endo, Akira& Otomo, Yasuhiro. 2018. A Case of Impalement Brain Injury That Could Achieve Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategy. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143151
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Takayama, Wataru…[et al.]. A Case of Impalement Brain Injury That Could Achieve Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategy. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143151
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Takayama, Wataru& Yamasaki, Kaho& Endo, Akira& Otomo, Yasuhiro. A Case of Impalement Brain Injury That Could Achieve Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategy. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143151
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1143151
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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