Survival with good outcome after traversing brainstem injury: Case report

Thomas C. Manning, Daniel Hallam, Gavin W. Britz

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

OBJECTIVE: A penetrating injury to the brainstem is usually a fatal injury. The number of cases in which the brainstem is traversed during the injury and the patient survives is exceedingly small. CLINICAL PRESENTATION: We report a case of an automobile collision in which blunt injury to the face of a 22-year-old man resulted in a fragment of the clivus being impacted posteriorly traversing through the pons in a left-sided through-and-through manner. The striking radiographic images demonstrate a potentially devastating brainstem injury. Surprisingly, the patient was able to follow commands and move his left side on arrival at the hospital. INTERVENTION: The patient required a temporary tracheostomy and underwent surgical repair of his facial fractures. His hospital course was complicated by meningitis, and he required a long stay on the rehabilitation service. The patient made a remarkable recovery and became able to converse and walk with assistance. He has been able to live independently. CONCLUSION: The striking radiographic images of this rare case illustrate an unusual pathology with an even more unusual outcome.

Original languageEnglish (US)
JournalNeurosurgery
Volume62
Issue number3
DOIs
StatePublished - Mar 1 2008

Keywords

  • Brainstem
  • Injury
  • Penetrating
  • Pons
  • Traversing

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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