Ulus Travma Acil Cerrahi Derg. 2015; 21(6): 524-526 | DOI: 10.5505/tjtes.2015.43958

Penetrating brain injury with a bike key: a case report

Joe M Das, Satheesh Chandra, Rajmohan B Prabhakar
Department Of Neurosurgery, Government Medical College, Thiruvananthapuram, India

Penetrating brain injury (PBI) may be caused by low-velocity or high-velocity objects. Several objects are known to cause such injury ranging from knives to rooster pecks. However, an assault with the key of a bike causing PBI has not been reported in the literature. The objective of this study was to report the case of a 21-year-old male patient, who presented after an assault with a bike key. The key was impacted in the left parietal region. Left parietal craniotomy was done and the key was removed. There was an underlying parenchymal contusion, which was excised. On post-operative day two, the patient developed motor aphasia, which subsided in subsequent days with antiedema measures. At the first month follow-up, the patient was having normal speech and consciousness. Prompt treatment of penetrating brain injury is important and angiography is not always necessary for PBI.

Keywords: Bike key, left frontal contusion; penetrating brain injury; post-traumatic seizure.

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Bisiklet anahtarýyla penetran beyin yaralanmasý: Bir olgu sunumu

Joe M Das, Satheesh Chandra, Rajmohan B Prabhakar
Devlet Týp Fakültesi, Nöroþirürji Anabilim Dalý, Thiruvananthapuram, Hindistan

Penetran beyin yaralanmasýna (PBY) düþük veya hýzlý ivmeli nesneler neden olabilmektedir. Býçaklar ve horoz gagasý gibi birkaç nesnenin bu çeþit yaralanmalara neden olduðu bilinmektedir. Ancak literatürde bisiklet anahtarýyla saldýrý sonucu oluþan PBY bildirilmemiþtir. Bu çalýþmanýn amacý bir bisiklet anahtarýyla saldýrý sonrasý gelen 21 yaþýndaki bir erkek hastayý raporlamaktý. Anahtar sol pariyetal bölgeye takýlý kalmýþ ve sol pariyetal kraniyotomiyle çýkartýlmýþtýr. Altta yatan parankimal kontüzyon eksize edilmiþtir. Ameliyat sonrasý ikinci gün hastada motor afazi geliþmiþ ve daha sonraki günlerde ödem çözücü önlemlerle geçmiþti. Birinci aylýk izlemde hasta normal konuþma ve bilincine kavuþmuþtu. Penetran beyin yaralanmalarýnýn hemen tedavi edilmesi önemli olup PBY için her zaman anjiyografi gerekmemektedir.

Anahtar Kelimeler: Bisiklet anahtarý, penetran beyin yaralanmasý; posttravmatik nöbet; sol frontal kontüzyon.

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