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Published on: September 11, 2017
Perforating brain injury from a speargun. A case report.
J Abarca-Olivas1, L A Concepción-Aramendía, E Baño-Ruiz
1Departmentos de Neurocirugia, Hospital General Universitario de Alicante, Alicante, España.
Summary
A rare case of perforating brain injury from a speargun during a suicide attempt resulted in no neurological deficits post-surgery. This highlights effective medical and surgical management strategies for such severe head trauma.
Area of Science:
- Neurosurgery
- Trauma Surgery
Background:
- Perforating brain injuries, though rare, pose significant management challenges.
- Speargun-related injuries are infrequently documented, making case studies valuable.
Observation:
- A patient survived a perforating brain injury from a speargun during a suicide attempt.
- Despite the severe injury, the patient exhibited no neurological deficits following surgical intervention.
Findings:
- Anterograde extraction of the speargun, facilitated by a craniotomy around the exit point, was performed.
- Prophylactic use of antibiotics and antiepileptic drugs was integral to the patient's recovery.
Implications:
- This case underscores the potential for favorable outcomes in severe brain injuries with prompt and appropriate surgical management.
- The described approach, including specific extraction techniques and supportive medical care, offers valuable insights for treating similar complex penetrating head traumas.

