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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 1034-1036
DOI: 10.4103/ajns.AJNS_89_16
Case Report

Transcranial stab injury with knife: A rare case with excellent outcome

Rajveer Garg
Department of Neurosurgery, IVY Hospital, Panchkula, Haryana
,
Chetan Wadhwa
1   Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
,
Rakesh Kaushal
1   Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
,
Jagminder Singh
1   Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
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Traumatic stab injury/wounds to the brain are rare type of injuries having fatal outcomes. In the present case report, we report a case of a 17-year-old male who presented to the accident and emergency department of our hospital with an alleged history of assault due to a vegetable cutting knife with the knife lying in the right temporal region. In these types of injuries, no attempt should be made to remove the weapon without adequate investigations and facilities as it can be fatal. While removing the weapon, care should be taken that there is no rocking or zigzag movement and the weapon should be retrieved back from the same trajectory. The underlying principles in these types of cases include thorough debridement of the wound with removal of dead tissue with no rocking movement while retrieving the weapon. The wound should be thoroughly closed to prevent postoperative cerebrospinal fluid leak.

Key-words:

Dura mater - skull - stab

Financial support and sponsorship

Nil.




Publication History

Received: 03 March 2016

Accepted: 29 July 2016

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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