Brain impalement by an angle metal bar.
The author reports the case of a 37-year-old right-handed man who was impaled in the head by an angle metal bar at a construction work site. Impalement injuries of the brain are rare, and their management is complex. The surgical treatment of the injury and the medical management of complications are described in detail. The patient made a good recovery although he has functional deficits related to the injury to his frontal lobes.
Ordia
Joe I
JI
Boston Medical Center, and Department of Neurosurgery, Boston University School of Medicine, Boston, MA 02118, USA. jordia@post.harvard.edu
D000062:Accidents, Occupational; D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003072:Cognition Disorders / Q000209:etiology / Q000503:physiopathology; D003252:Construction Materials / Q000009:adverse effects; D005625:Frontal Lobe / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D020197:Head Injuries, Penetrating / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D020127:Recovery of Function; D014057:Tomography, X-Ray Computed