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Rubber Bullet Induced Traumatic Brain Injury
Rohaid Ali1, Jonathan Poggi1, Cody A Doberstein1
1Department of Neurosurgery.
The Journal of Craniofacial Surgery
|June 2, 2021
Summary
Traumatic brain injury (TBI) from rubber bullets is rare but severe. This case report details a patient with TBI, vision loss, and facial fractures, emphasizing a multidisciplinary surgical approach.
Area of Science:
- Neurosurgery
- Traumatology
- Ophthalmology
Background:
- Traumatic brain injury (TBI) from rubber bullet impacts is infrequently documented in neurosurgical literature.
- A comprehensive review of this specific injury pattern is lacking.
Observation:
- A 28-year-old male sustained TBI, left visual loss, and complex facial fractures after a rubber bullet strike.
- The patient developed a cerebrospinal fluid (CSF) leak, necessitating surgical intervention.
Findings:
- A combined neurosurgical-craniofacial procedure was performed using frameless intraoperative computed tomography (CT) navigation.
- Successful repair of the CSF leak and craniofacial injuries was achieved.
Implications:
- This case highlights the rarity and severity of TBI caused by rubber bullets.
- It underscores the need for a multidisciplinary surgical approach in managing complex craniofacial and intracranial injuries.
- The utility of frameless intraoperative CT navigation in such cases is demonstrated.
