CASE REPORTS
JOURNAL ARTICLE
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Penetrating head wound: a remarkable case.

Surgical Neurology 2003 August
BACKGROUND: The modern management of penetrating head injuries is generally considered a neurosurgical specialty that relies heavily on the use of sequential imaging techniques, an ever-changing armamentarium of sophisticated antibiotics and specific neurosurgical operative skills. Unfortunately these optimal therapeutic components are frequently not available to patients injured in underdeveloped countries.

METHODS: An unusual case of a young patient suffering a penetrating brain wound and undergoing delayed treatment in an African mission hospital is reviewed.

RESULTS: A functional but neurologically impaired outcome resulted from limited surgical debridement and short-term broad-spectrum antibiotic administration.

CONCLUSIONS: The multiple exigencies of surgical practice in an underdeveloped African nation do not preclude successful management of penetrating head trauma.

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