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Un caso curioso de astillas metálicas intracraneales insospechadas con complicaciones

Sucheta Tirpude¹, Dhirav Thakkar¹

¹Department of Neurosurgery, H.B.T. Medical College and Dr. R.N. Cooper Hospital, Mumbai, India.

|February 9, 2026

Resumen

Una rara lesión cerebral de un accidente de cricket involucró una astilla metálica que causó complicaciones graves. La obtención rápida de imágenes y el manejo individualizado son cruciales para las complicaciones tardías de las lesiones cerebrales penetrantes.

Área de la Ciencia:

La neurocirugía es la neurocirugía.
Trauma Cirugía cirugía cirugía.
Neurología Neurología.

Sus antecedentes:

Las lesiones cerebrales penetrantes causadas por objetos no misiles de baja velocidad no son comunes en entornos civiles.
Estas lesiones pueden conducir a una morbilidad sustancial a largo plazo y déficits neurológicos.

Objetivo del estudio:

Para reportar un caso de complicaciones tardías de una lesión cerebral penetrante.
Para resaltar la importancia del diagnóstico y el manejo rápidos de tales lesiones y sus secuelas.

Principales métodos:

Un estudio de caso de un varón de 20 años que presentaba síntomas neurológicos meses después de una lesión en la cabeza aparentemente leve.
Las imágenes de diagnóstico revelaron una astilla metálica en el cerebelo.
La extirpación quirúrgica del cuerpo extraño y el posterior tratamiento de las complicaciones.

Principales resultados:

Una astilla metálica de 2,5 cm fue extirpada quirúrgicamente del cerebelo izquierdo.
El paciente desarrolló meningitis, hidrocefalia que requería una derivación, pseudocisto, fuga de LCR y mal funcionamiento de la derivación.
En última instancia, se requirió una derivación ventriculoarterial para el manejo.

Conclusiones:

Las imágenes de rutina son esenciales para diagnosticar lesiones cerebrales penetrantes, incluso después de incidentes aparentemente triviales.
El reconocimiento clínico acelerado y el manejo personalizado son críticos para abordar las complicaciones tardías.
Las estrategias de tratamiento individualizadas son necesarias para manejar las secuelas complejas de las lesiones cerebrales penetrantes.

Palabras clave:

Cuerpo extraño metálico.cuerpo extraño intracraneal.La formación de un pseudocisto es la formación de un pseudocisto.El desvío ventricular-operitoneal es el desvío ventricular-operitoneal.

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