British journal of neurosurgery
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We report the management of a penetrating foreign body injury to the neck with a length of fencing wire traversing the internal carotid artery within the petrous temporal bone and entering the middle cranial fossa. Discussion points include methods of haemorrhage control, as well as ligation versus repair or bypass as the definitive treatment.
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A prospective study on four groups of children undergoing a craniotomy over a 6-month period was carried out in order to assess the incidence of complications. All complications were graded according to their severity and the requirement for extra general anaesthetics also recorded. From this information it is possible to calculate the resource implications of craniotomy-related complications in a paediatric neurosurgical unit, as well as point to those areas of clinical practice where improvements in technique are most needed.