An iron rod stuck in the right motor cortex

Area of Science:

• Neurosurgery
• Trauma Surgery
• Radiology

Background:

• Intracranial foreign bodies from non-missile trauma are rare in civilian settings.
• Commonly reported objects include nails, knives, screwdrivers, and needles.
• Penetrating craniocerebral injuries pose significant management challenges.

Observation:

• An adult male sustained a severe penetrating brain injury from a falling concrete reinforcing bar (rebar).
• The injury occurred due to a rebar falling from the fourth floor of a construction site.
• The patient presented with a unique and uncommon mechanism of head trauma.

Findings:

• Detailed radiological evaluation and meticulous preoperative planning were crucial for management.
• A right parietal craniectomy was performed for safe removal of the rebar.
• The surgical team achieved successful removal of the foreign body.

Implications:

• This case represents the first reported successful surgical treatment of a penetrating brain injury caused by a rebar.
• It underscores the importance of advanced imaging and surgical strategy in managing rare neurotrauma.
• The successful outcome provides valuable insights for treating similar complex foreign body injuries in the brain.