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CC BY-NC-ND 4.0 · Asian J Neurosurg
DOI: 10.1055/s-0044-1791582
Case Report

Case Report and Literature Review: A Severe Case of Blast-Related Traumatic Brain Injury

Wei Lun Lee 
1   Neurosurgery Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
,
Azmi Alias
1   Neurosurgery Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
,
Mei Sin Lim
1   Neurosurgery Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
› Author Affiliations Funding None.
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Abstract

Blast-related traumatic brain injuries (bTBIs), once considered the signature wound of wars, have increasingly affected civilian populations due to the rise in terrorist attacks and industrial accidents. These injuries are complex, resulting from a combination of primary blast effects, secondary projectiles, tertiary impacts, and quaternary injuries from burns and toxic gas inhalation. Understanding the clinical presentation, management strategies, and outcomes of bTBIs is essential for enhancing patient care and improving prognosis. We report a case of industrial-related severe bTBI with opened depressed skull fracture and intracranial hematoma. The patient underwent decompressive craniectomy and evacuation of clot but postoperatively had a stormy recovery and multiple complications. He eventually succumbed due to his complications. This underscores the complexity of bTBIs and highlights the importance of a multidisciplinary approach in the management of bTBIs. Further research is needed to optimize treatment protocols and rehabilitation strategies for individuals with bTBIs.

Keywords

case report - blast-related traumatic brain injury - decompressive craniectomy - Glasgow Coma Scale - industrial blast - industrial injury - multidisciplinary approach - oxidative stress


Publication History

Article published online:
03 October 2024

© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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