title: Neurosurgical history: Comparing the management of penetrating head injury in 1969 with 2005.
abstract: Penetrating head trauma may present challenging problems in the acute phase (removal of foreign bodies, control of haemorrhage, prevention of infection) and in the management of long-term sequelae (neurological deficit, cognitive impairment, seizures). Two unusual cases demonstrate the progress made in emergency medicine, radiology neurointensive care, and neurosurgical head injury management over 36 years.
authors.affiliation: Academic Neurosurgery Unit, Department of Clinical Neurosciences, Addenbrooke's Hospital, Cambridge, UK.
authors.forename: N C H
authors.initials: NC
authors.lastname: Keong
authors.forename: J R W
authors.initials: JR
authors.lastname: Gleave
authors.forename: P J
authors.initials: PJ
authors.lastname: Hutchinson
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001642:Bicycling / Q000293:injuries; D017809:Fatal Outcome; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000379:methods / Q000639:trends*; D011859:Radiography; D013406:Suicide, Attempted; D016896:Treatment Outcome