Journal of Surgery and Trauma
نشریه جراحی و تروما
J Surg Trauma
Medical Sciences
http://jsurgery.bums.ac.ir
1
admin
2345-4873
2345-4873
en
jalali
1401
9
1
gregorian
2022
12
1
10
4
online
1
fulltext
en
Management of a case of dirty traumatic scalp lacerations and multiple skull fractures and exposure to Dura matter
جراحی اعصاب
Neurosurgery
گزارش مورد
Case Report
<ul>
<li style="text-align: justify;">In traumatic brain injury many objects may enter the cranium, if these injuries are associated with the entry of contaminated foreign bodies into the brain; they can cause more damage and complications. This is a case report of such patients with different aspects of treatment. We reported a case followed motor accident suffered dirty large scalp lacerations, multiple linear and depressed skull fractures, and exposure to dura matter, pneumocephalus, and many sands and soil under the cranium. Several therapeutic actions were done including adequate irrigation, administration of Prophylactic antimicrobial and anticonvulsant therapy, and early surgical intervention. The Patient did not show any signs or symptoms of infections or other complications during the hospitalization period and he had a favorable 10-month follow-up period. We concluded in penetrating brain injury with contaminated foreign bodies, adequate irrigation and early administration of prophylactic antibiotic therapy and antiepileptic agents associated with early neurosurgical intervention can be helpful in complications prevention.</li>
</ul>
Traumatic Brain Injury, Head Injuries, Penetrating, Skull Fractures, Antibiotic Prophylaxis, Anticonvulsant
160
166
http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-315-1&slc_lang=en&sid=1
Mohammad Reza
Fathi
mrezaafathi@gmail.com
10031947532846008443
10031947532846008443
Yes
Assistant Professor of Neurology, Clinical Research Development Unit of Emam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran