• J Neurosurg Sci · Mar 2002

    Case Reports

    Penetrating brain injury with nasal entry by a plastic stick. Case report.

    • Y Takanashi, M Shinonaga, and H Manaka.
    • Division of Neurosurgery, Hiratsuka Kyousai Hospital, Hiratsuka, Kanagawa, Japan.
    • J Neurosurg Sci. 2002 Mar 1; 46 (1): 25-7; discussion 27.

    AbstractA case of a 52-year-old male presented with an unusual penetrating brain injury with nasal entry. At admission he had erythema of periorbital soft tissue in the left eye and epistaxis. His neurological condition was lethargic (Glasgow Coma Scale of 13) with nonfluent aphasia. Computed tomography scan revealed intracranial contusion hematoma in the left frontal lobe and fracture of the left frontal base, which were treated surgically. At the 6-month follow-up he still showed nonfluent aphasia. Disturbances, mostly cognitive, were noted on his psychological tests. A survey of the literature reveals a few cases of this nature in penetrating brain injury with nasal entry. A penetrating brain injury with nasal entry which causes nonfluent aphasia is discussing.

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