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RISS 인기검색어
- 검색키워드
- 저자 : Ihsen Zammel (검색결과 4 건)
- 무료
- 기관 내 무료
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A Spectacular Penetrating Craniocerebral Trauma From a Rake: A Case Report
Kaouther Somrani,Ghassen Gader,Mohamed Badri,Ihsen Zammel,Mouna Rkhami 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.1
Penetrating intracranial foreign bodies are rare and have a high potential for death or serious morbidity. Their surgical management is complicated and challenging. Herein, we present the case of a 30-years-old man who was a victim of aggression from a rake blow to the head. The rake’s teeth were embedded in his cranium, crossing the midline. The surgery was delicate and had to be well studied because two of the rake’s teeth plunged into the superior sagittal sinus (SSS). The patient recovered a perfect state of consciousness and was discharged with squealer right upper limb monoparesia. Penetrating intracranial foreign bodies are rare. Few studies have reported on the removal of such foreign bodies, particularly in cases where the foreign body is close to or penetrates the SSS. They cause spectacular cranial trauma and a greater volume of the object. The aim of surgery is to remove the object without worsening the parenchymal and vascular cerebral lesions. This maneuver was delicate. A craniectomy is recommended around the penetrating object before it is carefully extracted with or without opening the dura mater.
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Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Miniseries of 3 Cases
Ghassen Gader,Ala Belhaj,Mohamed Badri,Kamel Bahri,Ihsen Zammel 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.4
Vertex epidural hematomas are very uncommon complications of traumatic head injury. Besides the volume of the epidural bleeding, compression of the superior sagittal sinus may be source for added elevated intracranial pressure. Clinical presentation of such lesions is heterogenous and symptoms can develop in an acute to a chronic frame. Radiological diagnosis can sometimes be challenging. Due to its rarity, such lesions have been only reported on case reports and small series and the management remain controversial. Hereby we report 3 cases of surgically managed post traumatic acute epidural hematomas of the vertex. Wen also went through a literature-based discussion of clinical, radiological and therapeutic features related to this condition.
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Mourad Masmoudi,Ghassen Gader,Abdelhafidh Slimane,Mouna Rkhami,Mohamed Badri,Kamel Bahri,Ihsen Zammel 대한신경손상학회 2023 Korean Journal of Neurotrauma Vol.19 No.4
Supratentorial-infratentorial epidural hematomas (SIEH) are a rare occurrence following traumatic head injuries, representing only 2% of traumatic epidural hematomas. Given the unique anatomical characteristics of the infratentorial region, mainly its small size, surgical intervention is commonly undertaken to alleviate the pressure on the posterior fossa components. Consequently, there is ongoing debate surrounding the optimal surgical approaches.In this report, we present four cases of SIEH that were treated surgically. Furthermore, we conduct a comprehensive review of existing literature, encompassing clinical, radiological, and therapeutic aspects associated with this condition.SIEH are uncommon post-traumatic lesions that require urgent and individualized management on a case-by-case basis, as guided by multiplanar cerebral computed tomography scan findings. Preoperative planning is essential; however, intraoperative exploration and identification of transverse sinus and torcula lesions are crucial for optimal patient care. The surgical approach may be modified intraoperatively based on the nature and extent of these lesions. In all cases, prompt hematoma evacuation and meticulous hemostasis are the two primary objectives of this surgery.
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Asymmetric Bilateral Traumatic Epidural Hematoma: A Report of a Rare Traumatic Lesion
Ghassen Gader,Nesrine Jemel,Mohamed Ilyes Krifa,Kerima Bel Hadj Ali,Mouna Rkhami,Ihsen Zammel,Mohamed Badri 대한신경손상학회 2022 Korean Journal of Neurotrauma Vol.18 No.2
Bilateral epidural hematoma is a rare presentation in head trauma injuries, accounting for only 1%–2% of all epidural hematomas, but with a higher mortality rate than the unilateral form. Herein, we report the case of a 27-year-old man admitted to our department following a road traffic accident. On admission,his Glasgow Coma Scale (GCS) score was 13/15. After a few minutes, he became comatose (GCS 6/15) with right anisocoria. CT scan revealed a bilateral asymmetric epidural hematoma with a left extralabyrinthic linear fracture. Surgical evacuation was subsequently performed, starting with the voluminous right hematoma. The patient was discharged on the 23rd postoperative day with a right third-nerve palsy. Conclusions: In this case report, we discuss the etiology, mechanism, and management of bilateral epidural hematoma. Early diagnosis and a judicious surgical approach for bilateral epidural hematoma are necessary to minimize mortality and morbidity. Prevention is key to reducing traumatic brain injuries.
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