Non-missile Penetrating Head Trauma,Cases Registry in Sohag University Hospital

Study Overview
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Brief Summary
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A retrospective study was done in Neurosurgery trauma unit, Sohag University. Eighteen patients reported with different mechanisms of trauma. All patients clinically tested involving neurological evaluation. Computed tomography brain was done for them at the time of admission. Cautious removal of the penetrating object with local debridement of surrounding tissues including skin, skull, dura and brain tissue and watertight closure of the dura should be done. Patients transferred to the Intensive care unit (ICU) for 48 - 72 hours.

Detailed Description
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Traumatic intracranial penetration of foreign non-missile object rarely occurs. Early mortality may be caused by hemorrhages, major vascular injury or contusions; while epileptic seizures and infections are among the possible complications in later stages. Complete excision of the foreign object should be done for all patients and any dural and/or vascular injuries should be repaired during surgical treatment. Neurological level, hemodynamic and respiratory status at hospital admission, type of penetrating the object, pupil size, and reactivity, as the CT findings, all these factors will affect the prognosis so they should be evaluated carefully before the decision of the line of management. Intracranial infection, CSF leak and recurrent attacks of convulsions are the most common complications. Our goal in this study to report cases with non-missile penetrating head injuries and evaluate the possible predictive factors in a series of 18 patients sustaining penetrating head injuries, admitted to our hospital over a period of 2 years, to be used as a guide for the surgical management.

Official Title
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Non-Missile Penetrating Brain Injuries, Cases Registry in Sohag University Hospital

Conditions
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Head Injuries With Non Missile Penetrating Objjects

Intervention / Treatment
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* Procedure: Debridement and dural repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any patient with penetrating head trauma Exclusion Criteria: missile penetrating head injuries

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 39 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Debridement<br> | Procedure: Debridement and dural repair<br> <br> * Other names: Removal of foreign bodies with dural and vascular repair;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| (Glasgow Coma Scale)(GCS) to evaluate non-Missile Penetrating Brain Injuries | Descriptive scale grades from (3 to 15). 3 is worst and 15 is the best | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Penetrating brain trauma (PBT),Traumatic brain injury (TBI), Intensive care unit, non missile.