Abstract Background Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with hand drill while working in a factory is peculiar accident. Because of its rarity and lack standard protocol management, the management PBI complex. Case Presentation We presented case 26-year-old male alleged history insertion eight nails machine right...

INTRODUCTION Gunshot wounds to the head (GSWH) account for the majority of penetrating brain injuries, and are the most lethal. Since they are rare in Europe, the number of neurosurgeons who have experienced this type of traumatic injury is decreasing, and fewer cases are reported in the literature. CASE We describe a case of gunshot to the temporal bone in which the bullet penetrated the sku...

From their vast experience, gathered during several wars and from practicing and teaching surgery for many years, the authors suggest some common-sense approaches to the most frequently found extremity and non-penetrating wounds of the trunk encountered in combat. They discuss the first operation, wound excision, wound debn'dement, immobIlization of fractures, the prevention of infection, amput...

Traumatic intracranial aneurysms (TICAs) are rare and are associated with high rates of morbidity and mortality. TICAs usually result from head injuries caused by traffic accidents, industrial accidents, or gunshots. We report a traumatic aneurysm of the callosomarginal artery-cortical artery junction arising from a penetrating injury by scissors. A 51-year-old woman was admitted to our hospita...

Spine immobilization in trauma patients suspected of having a spinal injury has been a cornerstone of prehospital treatment for decades. Current practices are based on the belief that a patient with an injured spinal column can deteriorate neurologically without immobilization. Most treatment protocols do not differentiate between blunt and penetrating mechanisms of injury. Current Emergency Me...

BACKGROUND The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only trauma centers (ATCs) versus pediatric-only trauma centers (PTCs) in a state system with legislated American College of Surgeons-verified institutions to determine ideal prehospital referral patterns. METHODS The Ohio T...