Friday, 21 June 2013

Penetrating Cement Piece in Brain

A rare Neurological Surgical Intervention at GSL General Hospital, Rajahmundry by Neuro Surgeon Dr.M.Phani Kumar
 
Emani Ramana Sastry, A male aged about 36 years, purohit by profession living in Buttayigudem of West Godavari  conducted a marriage on the night of 31.05.2013. On the return at 4.30 a.m. he took a nap on the road side cement bench at out skirts of Bhadrachalam. 

A car hit the bench and the bench shattered in to pieces and the purohit was thrown far off. During accident he sustained a Lacerated Penetrating Head Injury on the right side and developed paralysis of left side. He was moved to Government Hospital, Bhadrachalam, where the wound was sutured and referred to GSL General Hospital, Rajahmundry. 

The CT scan Brain done was suggestive of Right Parietal Compound Depressed Fracture along with a suspicious foreign body. Emergency surgery was performed under Aarogyasri and to Surgeons surprise a Sharp edged wedge shaped solid cement piece measuring 4X2 cm and weighing 4.130 grams was found to be lodged deep in the Brain tissue, which was removed by GSL Medical College Hospital Nuero Surgen Dr M Phanikumar 

This is a unique incidence where a shattered cement piece acted as a missile and penetrated the skull bone to find itself in the brain tissue and thereby injuring the brain resulting in Paralysis. Foreign bodies of metallic nature like bullets ,sharp objects like toys etc., were known earlier to cause penetrating brain injury but a shattered stone piece from a broken bench on which the patient was taking rest during Road Traffic Accident  , causing the similar injury was not known 

Consequent on surgery under Arogyasree Scheme, patient completely recovered from Left Hemiplegia and discharged today in a complete normal status back into his profession explained Dr Ganni Bhaskara Rao Surgeon and also the chairman of GSL Medical College and General Hospital, Rajahmundry. 





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