EURORAD ESR

Case 9932

An unusual case of penetrating head injury by cutting plier

Author(s)
Nemsadze G, Hatti D, Biradar S, Shelia V, Jvarsheishvili A, Dzneladze Z, Lapiashvili E, Goletiani T

1.Tbilisi Central Clinical Hospital.
2. Tbilisi State Medical University.
Email: grigolish_n@yahoo.com,
docsangamesh@gmail.com,
docdeepa12@gmail.com.
 
Patient
male, 64 year(s)
 
 
  • Figure 1
    PRE-OPERATIVE CT SCAN IMAGES.
     

    SCOUT VIEW SHOWING FOREIGN BODY.

     
    Area of Interest: Emergency; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    3D RECONSTRUCTION VR

     
    Area of Interest: Emergency; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    SUPERIOR INFERIOR OBLIQUE PLANE.

     
    Area of Interest: Emergency; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    MIP RECONSTRUCTION.

     
    Area of Interest: Emergency; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
  • Figure 2
    AXIAL CT SCAN IMAGE.

    Strong metallic artefact shown, therefore unable to identify the basal and middle structures of the brain and fractures.

     
    Area of Interest: Emergency; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Artefact;
     
     
  • Figure 3
    POST-OPERATIVE AXIAL CT SCAN IMAGE.
     

    Haemorrhage extending from the right frontal lobe to the anterior limb of the internal capsule and putamen.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;

    Hemorrhage appearing as a hyperdens mass with surrounding edema and effacement of the Sylvian fissure and the anterior and posterior horn of the right lateral ventricle associated with mass effect.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 4
    POST-OPERATIVE INTRAORBITAL CT FINDINGS.
     

    Bony fragments were seen around the medial aspect of the right sclera, within the retrobulbar space and soft tissue around the medial side of the orbit.

     
    Area of Interest: Eyes; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Increased attenuation in the right frontal sinus suggesting hemorrhage, ie hemosinus and multiple fractures of the right orbital roof.

     
    Area of Interest: Eyes; Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
SCOUT VIEW SHOWING FOREIGN BODY.
 
3D RECONSTRUCTION VR
 
SUPERIOR INFERIOR OBLIQUE PLANE.
 
MIP RECONSTRUCTION.
 
Strong metallic artefact shown, therefore unable to identify the basal and middle structures of the brain and fractures.
 
Haemorrhage extending from the right frontal lobe to the anterior limb of the internal capsule and putamen.
 
Hemorrhage appearing as a hyperdens mass with surrounding edema and effacement of the Sylvian fissure and the anterior and posterior horn of the right lateral ventricle associated with mass effect.
 
Bony fragments were seen around the medial aspect of the right sclera, within the retrobulbar space and soft tissue around the medial side of the orbit.
 
Increased attenuation in the right frontal sinus suggesting hemorrhage, ie hemosinus and multiple fractures of the right orbital roof.
 
 
 
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