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Steel bar penetrating the skull
Summary
A construction worker survived a severe head injury from a falling steel bar. Despite surgical removal and an unremarkable recovery, he has mild aphasia and requires a cane for walking.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Neurology
Background:
- Traumatic brain injury (TBI) can result from high-velocity impacts.
- Penetrating head injuries pose significant surgical and neurological challenges.
Observation:
- A 42-year-old male construction worker sustained a penetrating TBI.
- A ten-foot steel bar fell 240 feet, entering the left parietal skull and exiting above the left zygoma.
Findings:
- Surgical removal of the foreign object was successful.
- The patient experienced a post-operative course without immediate complications.
- Residual neurological deficits include mild aphasia and gait disturbance requiring assistive walking devices.
Implications:
- This case highlights the potential for survival from severe penetrating head trauma.
- It underscores the importance of prompt surgical intervention in TBI.
- Long-term rehabilitation is crucial for managing residual deficits like aphasia and mobility issues.