Severe craniocerebral injury with impacted axe in situ: A fatal outcome

Abstract

Penetrating head injury [PHI] with impacted axe in situ is extremely uncommon. Management of these injuries requires anticipation of difficulties faced in the CT room as well as in the operating room and a sound knowledge of technique required for a safe delivery of the impacted weapon. We present an extremely uncommon case of penetrating head injury with impacted weapon (axe) in situ on admission. Management of the case discussed & literature reviewed.

Keywords

Penetrating head injury [PHI] - Axe injury - Low velocity PHI - Impacted weapon in situ - Stab injury

Abbreviations

h/o History of - GCS Glasgow Coma Score - min Minute - mmHg Millimeter of mercury - mm Millimeter - CT Scan Computed tomography scan - PHI Penetrating head injury - SAH Subarachnoid hemorrhage

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