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Case Report
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| A successfully-treated case of penetrating facial trauma | ||||||
| Tetsuya Yumoto1, Atsuyoshi Iida1, Kohei Tsukahara1, Hiromichi Naito1, Michihisa Terado1, Keiji Sato1, Isao Date2, Atsunori Nakao1 | ||||||
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1Department of Emergency and Critical Care Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.
2Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science. | ||||||
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| How to cite this article |
| Yumoto T, Iida A, Tsukahara K, Naito H, Terado M, Sato K, Date I, Nakao A. A successfully-treated case of penetrating facial trauma. Int J Case Rep Images 2017;8(2):120–123. |
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Abstract
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Introduction:
Penetrating intracranial injury caused by a metal bar is rare and often causes severe damage without fast treatment.
Case Report: A 59-year-old male fell from a height of four feet onto upward-pointed metal bars and was transferred to our emergency department after suffering an accidental penetration of a metal bar through his face. Computed tomography (CT) scans were conducted; however, the image resolution was unsatisfactory and the amount of brain damage could not be evaluated due to serious artifacts associated with the metal bar. After removing the foreign body, follow-up CT scn revealed increased hemorrhage in the frontal lobe. Emergency craniotomy and removal of the hematoma followed. Conclusion: Artifacts from a penetrating metal bar on CT scan often hide actual brain damage along the trajectory of penetration. Emergent surgical intervention and early follow-up CT scan is necessary for any chance to save the patient's life. In these cases, proper examination, radiological tests, and early decision-making using a multidisciplinary strategy provide optimal outcomes. | |
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Keywords:
Artifacts, Intracranial stab injury, Metal bar, Transorbital brain injury
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Author Contributions
Tetsuya Yumoto – 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 Atsuyoshi Iida – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Kohei Tsukahara – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hiromichi Naito – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Michihisa Terado – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Keiji Sato – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Isao Date – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Atsunori Nakao – Substantial contributions to conception and design, Acquisition of data, or analysis and interpretation of data, Drafting the article or 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
© 2017 Tetsuya Yumoto 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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