title: Perforating brain injury from a speargun. A case report.
abstract: A case of a perforating brain injury caused by a speargun in a suicide attempt is described. Although this kind of injuries has been previously reported, the present case is specially interesting because the patient showed no neurological deficit after surgery. Some advices about the medical and surgical management are proposed based on this case and our literature review. The use of antibiotics and antiepileptic drugs and the anterograde extraction of the harpoon aided by the performance of a craniotomy surrounding the exit point are recommended.
authors: Departmentos de Neurocirugia, Hospital General Universitario de Alicante, Alicante, España.
authors: J
authors: J
authors: Abarca-Olivas
authors: L A
authors: LA
authors: Concepción-Aramendía
authors: E
authors: E
authors: Baño-Ruiz
authors: M A
authors: MA
authors: Caminero-Canas
authors: J A
authors: JA
authors: Navarro-Moncho
authors: C
authors: C
authors: Botella-Asunción
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D001860:Bone Plates; D003399:Craniotomy; D003646:Debridement; D004834:Epilepsy, Post-Traumatic / Q000517:prevention & control; D005625:Frontal Lobe / Q000293:injuries / Q000601:surgery; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012887:Skull Fractures / Q000209:etiology / Q000601:surgery; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D014059:Tongue / Q000293:injuries; D016896:Treatment Outcome; D054041:Weapons; D014946:Wound Infection / Q000517:prevention & control; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D000927:Anticonvulsants