Trauma cases

 
Iraq has become well known these days because of the daily violence explosions, assassinations and fighting have became usual events in Iraqi’s life.

this page shows some of the head trauma cases as a result of the missile and bullet injuries as well as fighting and road traffic accidents.

 

     
     
 

Child 10 years old had accidental bullet injury follow by a  fall on ground, massive bleeding from occipital region. Brain CT scan show a bullet arrested at posterior cranial fossa. During surgery a bullet traction carefully after small incision above her cranial wound and muscle separations. Postoperatively the patient very well so discharge to home.

 

Brain CT scan show a bullet arrested at posterior cranial fossa

 

Brain CT scan (bone window) show a bullet arrested at posterior cranial fossa
 

30 years old female had fall on ground more than 5 meter height, follow by sudden loss of consciousness. Brain CT scan show large collection right parieto-occipital extradural hematoma with overlaying linear fracture extended to the base of skull. Surgery was done immediately to evacuate the extradural hematoma after craniotomy flap. Postoperatively the patient return awake without any neurological deficit.

 

 

Brain CT scan show large collection right parieto-occipital extradural hematoma

Brain CT scan show linear fracture extended to the base of skull

Brain CT scan show right parieto-occipital  linear fracture

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21 years old male exposed to cranial bullet injury perforating his skull from left side. Brain CT scan show sever depress fracture with a bullet arrested at left temporal lobe, which have centre of speech. Completely removed of a depress segment, evacuation of hematoma, extraction of the bullet with dural patching was done during surgery. After surgery he was talking and walking normally.

 

Brain CT scan show

 depress fracture with a bullet arrested at left temporal lobe

 

Brain CT scan (bone window) show a bullet arrested at left temporal lobe

 

 

19 years old male exposed to perforated cranial bullet injury  for his skull from left side and exit from right side with loss of his consciousness. Brain CT scan show a tract of hematoma extend from entrance to exit sit. Completely removal of a depress segment, evacuation of hematoma with dural patching was done during surgery. After surgery he was gradual improvement within ten days and return to his consciousness .

 

Brain CT scan

 a tract of hematoma extend from entrance to exit sit

 

Brain CT scan

 after two week show disappear of a tract of hematoma

 

 

 

33 years old male presented as a case of road traffic accident with completely loss of his consciousness. Brain CT scan show a depress segments at left frontal region with involving left orbit. Completely removal of a depress segment, reconstruction of the orbital margin with dural patching was done during surgery. After surgery he is gradual improvement and completely return his consciousness.

 

Brain CT scan

  fracture involving left orbit

 

Brain CT scan       

 a depress segments at left frontal region

 

 

25 years old male had cranial shell injury with completely loss of his consciousness. Brain CT scan show a depress segments seated at left temporal region with extensive intracerebral and intraventricular hemorrhage. Completely removal of a depress segment, evacuation of hematoma with dural patching was done during surgery. After surgery he is gradual improvement completely return to consciousness.

 

 

 

 

 

 

 

 

 

 

 

 

Brain CT scan

 a depress segments with  intracerebral hemorrhage

 at left temporal region

Brain CT scan at 7 postoperative day show disappears of

  depress segments, intracerebral, intraventricular hemorrhage

 

 

 

 

Brain CT scan

  extensive  intraventricular hemorrhage

 at left temporal region

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

63 years old male had a headache, inability to walking and lastly loss of consciousness for one weak. He has history of mild head trauma before one month. Brain MRI show a big left sided subdural hematoma. A burr hole was done for evacuation of hematoma. Immediately after surgery the patient return oriented and he became able to walk.

 

 

Brain MRI show

 a big left sided subdural hematoma

Brain MRI show 

a big left sided subdural hematoma

 

Child 10 years old had Head trauma 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 drivercarefully under general anesthesia with repair of the brain damage. In the first postoperative day, he was very well with no serious complications.

 

 

skull x-ray

 

 

 

Brain CT scan  screw driverpenetrated   brain

 

30 years old male 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 showedsevere fracture at D8-D9 with spinal cord compression. Internal vertebral column fixation with spinal cord decompression  was done.

 

 

 

 

dorsal x-ray  showed  fracture at D8-D9

MRI showed  fracture at D8-D9

 

 

 

49 years old male had multiple intracranial shell injury. 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.

After 3 days, he got good improvement in his vision.

 

 

 

Brain CT scan  1st entrance site

 

Brain CT scan 2nd entrance site