1 0 0 0 OA 前頸部より刺入し頭蓋内に達した鉄筋棒による穿通性脳損傷の1例
- 著者
- 和田 崇文 上久保 毅 中島 真人 阿部 俊昭
- 出版者
- Japanese Association for Acute Medicine
- 雑誌
- 日本救急医学会雑誌 (ISSN:0915924X)
- 巻号頁・発行日
- vol.12, no.12, pp.755-759, 2001-12-15 (Released:2009-03-27)
- 参考文献数
- 20
- 被引用文献数
- 3 2
A 15-year-old boy with a neck injury transferred to our emergency room was alert and cooperative. During surgical closure of the wound, he vomited and became somnolent. A piece of brain tissue was found in vomit. Computed tomography (CT) showed pneumocephalus and a small hemorrhage in the left frontal lobe. Surgery undertaken found an irregular bone defect in the plamun sphenoidale and a dural laceration in the frontal base. The dura of the left frontal convexity was also lacerated. These findings suggested that an unknown foreign body penetrated the right lateral neck and the skull base through the nasopharynx, then reached up to the frontal bone. Postoperative course was uneventful. He witnessed later that he hit his neck on to an iron rod protruding from concrete blocks when he fell. He had known that this rod had penetrated his neck. Orbitocranial stab wounds may associate penetrating brain injuries, but it seems quite rare that a cervical stab wound complicated a penetrating brain injury. It should be stressed that physicians and paramedics must glean information about the modality of penetrating injuries.