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Sliman Abdalrasak
33 years old
Basra
A
case of
road traffic accident
on 21-3-07 presented with coma to
emergency unit. Brain CT scan revealed a large
left frontal depress fracture. Surgical interference to
remove depress bone with suturing dural tear. 2ed
postoperative day he return to full consciousness and
discharge to home.
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Brain CT scan show depress
fracture |
Brain CT scan
(bone window)
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Raaed Abdalumer
10 years old
Basra
Head trauma on 4-3-07 with large
screw driver penetrating his skull.
Brain
CT scan revealed the screw driver penetrated about one inch
inside his brain. Urgent surgical
intervention
was done to remove the
screw driver carefully under general
anesthesia with repair of
the brain damage. In the first postoperative day, he was very
well with no serious complications.
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skull x-ray
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Brain CT
scan screw
driver penetrated
brain
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Mwslim Juada
30 years old
Alnassiriyah
On 25-2-07,he exposed to road traffic
accident. He had breathing difficulty with loss
of the
ability to move both legs. Urgent chest tube inserted
to evacuate blood collection inside the chest . Dorsolumbar
MRI
showed severe fracture at D8-D9
with spinal cord compression. Internal vertebral column
fixation with spinal cord decompression was done on
1-3-07.
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dorsal
x-ray
showed
fracture at D8-D9 |
MRI
showed
fracture at D8-D9
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Kazum Mohammad Abud
49
years old
Basra -Alchbasy
Multiple intracranial shell injury on 6-1-07. He was
confused with impairment of vision. Brain CT scan
showed two inlet at left
occipital area, one of them impacted in the bone and the other
perforated and arrested at the right parietal lobe.
Immediate surgery was done:
1-Removal of left shell.
2-Craniectomy at left occipital bone with dural patch
(site of shell entrance).
3-Craniotomy to the right parietal bone for evacuation
of intracerebral hematoma.
On
10-1-07, he got good improvement in his vision.
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Brain CT scan 1st entrance
site
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Brain CT scan 2nd entrance site
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Mwayad ufy
30
years old
Basra-Nwab alzbat
A
case of motor cycle accident on 9-12-06, presented to
emergency unit with coma and
bleeding from the right ear. Brain CT scan showed large
right temporal extradural hematoma compressing the
brain temporal side. Urgent craniotomy was done with
evacuation of brain hematoma.
He improved and discharged home in a full
consciousness in the 8th postoperative day.
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Brain CT scan
right
temporal extradural hematoma |
Right
temporal extradural hematoma
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Hessen Abdalnaby
5
years old
Basra -Shat Alarab
At
5p.m. 2-11-06 presented with
sudden
fall on the ground
when he was playing outside his home. His family thought that someone hit
their child. On examination he was unconscious with
small wound on his vertex, left dilated pupil (very
dangerous sign of brain injury). Brain CT scan showed
bullet arrested at left temporal lobe with tract
hematoma from vertex.
Left sub temporal
craniectomy was done, extraction of bullet and
evacuation of hematoma. In the 1st
postoperative day, he became conscious but still
inability to talk and weakness in the right
side. In the 2nd postoperative day ,he
started talking with gradual increase in the power of right
side. On 3-12-06, he was completely returned to normal
activity with free talking and normal walking.
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Brain CT scan site of entrance
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Brain CT scan
bullet
arrested at left temporal |
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Zeinalabdeen Hazim
7
years old
Basra-Almdayna-Alhalifa
A
case of mild road traffic accident on 28-10-06. No loss
of consciousness ,no vomiting. Brain CT scan showed mild
brain contusion. In the next day, the patient was very
well, eating and walking normally. Repeated brain CT
scan showed same results. At 10 p.m. 29-10-06 he started
to have headache, repeated vomiting with attacks of
generalized fit, not responding to antiepileptic therapy.
On examination, the patient was very risky, he was
unconscious with right dilated pupil (very dangerous
sign of brain herniation). Brain CT scan showed very big
right intracerebral hematoma with intraventricular haemorrhage. Immediate surgical intervention, right
frontal craniotomy with evacuation of intracerebral
hematoma, homeostasis, external ventricular drain to
evacuate intraventricular blood. At 2nd
postoperative day ,the right pupil retained to normal
size but still had inability to move eye ball(
oculomotor palsy). The external ventricular drain became
clear and it was removed. The patient kept under
courses of aggressive physiotherapy. He was gradually
improved. On 15-12-06, he visited my private clinic ,
seemed very well with an ability to talk and walk.
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Brain CT scan 28-10-06
Brain CT scan intracerebral
haemorrhage
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Brain CT scan
29-10-06
Brain CT scan disappear
intracerebral haemorrhage |
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Ali
Hussein Ziara
17
years old
Umara-Alkfaat
Intracranial shell injury on 19-10-06, inlet site from
right occipital area and arrested at left thalamus causes
tract hematoma with intraventricular
haemorrhage.
on arrival to the causality he was unconscious
with pinpoint
pupils and left side weakness .
Operated on for evacuation of intracerebral hematoma,
removal of bone pieces with external ventricular drain. He
was improved postoperatively.
On
24-10-06, the Patient developed repeated vomiting
because of blocking of the external shunt with
clot. and shunt revision was done.
28-10-06 started to develop complications, he was
feverish with neck stiffness and loss of
consciousness. Removal of the external drain and cover with powerful antibiotics. The patient gradually
improved and he became conscious .At 16-11-06 he
discharged home .
4-1-07 he visited my private clinic with
speech
difficulty and spastic limbs. Brain CT scan showed
hydrocephaly with periventicular oedema. frontal
ventriculoperitoneal
shunt was done. In the postoperative day, he was
able to speak frankly with normal gait.
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Brain CT scan
sequences
Shell entrance site
Shell arrested site
ventricular drain disappear
intraventricular haemorrhage
after 3 month Brain CT scan
show diluted ventricules
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Intraventricular hemorrhage
Postop. remove of depress seg.
with ventricular drain
Removable ventricular drain
frontal
ventriculo-peritoneal shunt |
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Sufar Taher
55 years old
Basra-Alqurna
A
case of
road traffic accident
on 7-10-06 presented with coma to
emergency unit. Brain CT scan revealed right
temporal extra dural hematoma with left sided brain
contusion. Urgent surgery was done with right temporal
craniotomy and removal of the right extra dural hematoma. In
the postoperative days, he returned his
consciousness
but still had memory loss and inability to walk. After
one week of physiotherapy ,he was able to walk and
his memory returned back gradually.
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Reias abd alsmad
42 years old
On 3-10-06 , A case of depressed occipital fracture with
injury to the posterior third of the superior sagital
sinus. He was presented to causality as severe bleeding
from the wound with blindness ( only seen light
perception ). During surgery severe multiple, depressed
segments was found causing partial tear to posterior
third of the superior sagital sinus. He received 5 pints
of blood within 30 min, removal of bony pieces, dural
suturing was done. In the 4th
postoperative day ,his vision improved ,so he discharged home.
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Brain CT scan fracture site
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Brain CT scan bone window |
