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Case Report
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| Delayed presentation of a penetrating craniocerebral nail injury with the weapon lodged in the ventricle | ||||||
| Mthandeni Mnguni1, Basil Enicker2, Mduduzi Msomi1 | ||||||
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1MBChB, Neurosurgery Registrar, Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
2MBChB, FC Neurosurg SA, MMed, Consultant Neurosurgeon, Department of Neurosurgery, Inkosi Albert Luthuli Central Hospital, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. | ||||||
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| How to cite this article |
| Mnguni M, Enicker B, Msomi M. Delayed presentation of a penetrating craniocerebral nail injury with the weapon lodged in the ventricle. Int J Case Rep Images 2016;7(6):384–387. |
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Abstract
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Introduction:
Penetrating craniocerebral injuries presenting with the weapon lodged in the ventricle are uncommon. They are associated with an increased risk of ventriculitis, which can have lethal consequences.
Case Report: We report an unusual case of a 57-year-old female treated for delayed presentation of a penetrating craniocerebral nail injury following an assault. The admission Glasgow coma scale (GCS) was 14/15. The nail was lodged within the ventricle, requiring emergency removal, which was performed successfully. However, she developed ventriculitis and Escherichia coli was cultured from the cerebrospinal fluid. The GCS dropped to 8/15 necessitating an urgent CT brain scan, which showed hydrocephalus, requiring insertion of an external ventricular drain. Targeted antibiotic therapy was administered. However, she deteriorated further and demised on the fourth day of admission as a result of intracranial sepsis. Conclusion: Penetrating craniocerebral nail injury presenting with the weapon lodged in the ventricle requires urgent surgical intervention and targeted antibiotic therapy to ensure a favorable outcome. | |
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Keywords:
Craniocerebral, Nail, Penetrating, Ventriculitis
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Author Contributions
Mthandeni Mnguni – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Basil Enicker – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mduduzi Msomi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Mthandeni Mnguni et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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