The perioperational use of ultrasound examination in penetrating brain injury. Case presentation

Czech version

Authors: Michal Filip ¹; Petr Linzer ¹; Petr Čech ²
Authors‘ workplace: Neurochirurgické oddělení KNTB Zlín ¹; Neurochirurgická klinika FN Ostrava Poruba ²
Published in: Úraz chir. 18., 2010, č.3

Overview

The objective of the paper:
Attracting the attention to usage of perioperative 2D ultra-sound in operative treatment of brain injuries.

Method:
In neurosurgery the two-dimensional (2D) perioperative ultrasound imaging of tumor lesions has been used for a long time. The case is presented, where perioperative 2D ultrasound imaging was succesfully used for localisation of a nail hidden in the opposite hemisphere. The technique of the examination didn´t differ from imaging of brain tumors. After performing craniotomy an ultrasound probe 4-7MHz was placed under aseptic conditions on the brain. Hyperechoic corpus was visualized at the depth of 2 cm. Following a short ultrasound navigation the foreign body was removed through a limited corticotomy.

Results:
In the postoperative course the clinical condition of the patient improved. Postoperative CT imaging shoved in the region of shoot canal posttraumatic changes only. Secondary complications such as brain abscess didn´t occur.

Conclusion:
In the presented case perioperative ultrasound proved to be an advantageous method of foreign body imaging in the injured brain tissue. Thanks to high-quality of imaging a removal of foreign body without additional com-plications was possible.

Key word:
Penetrating brain injury, foreign body, two-dimensional ultrasound.

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Article was published in

Trauma Surgery

2010 Issue 3