Management of through-and-through penetrating skull injury: a railroad stake that transgressed the anterior skull base.
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World neurosurgery, ISSN: 1878-8769, Vol: 110, Page: 65-70
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Penetrating injuries involving foreign objects that transgress the entirety of the human skull presents challenges in the management of vascular injuries, infectious risk, cerebrospinal fluid leak, and cosmetic repair. Ultimately, effective management of these injuries requires a multi-disciplinary team and judicious surgical planning. Here we present the management of a patient who suffered a penetrating injury from a railroad stake, with entry and exit points involving left and right anterior aspect of the temporal fossa, respectively. Rationale for management decisions are reviewed in the context of the published literature.