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Vol. 3. Issue 2.
Pages 158-160 (January 1992)
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Vol. 3. Issue 2.
Pages 158-160 (January 1992)
Trauma craneoencefálico penetrante por objeto de madera. Descripción de dos casos
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H. Sandoval Valencia, R. Díez Lobato, J. Dornínguez, J.M. Ortega, R. Sarabia
Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid
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Resumen

Se presentan dos casos de traumatismo craneal abierto con herida penetrante por objeto de madera. Los cuerpos extraños de naturaleza vegetal pueden pasar desapercibidos en el estudio radiológico simple ya que son radiotransparentes y aparecer hipodensos en la tomografía axial computerizada (TAC). El estudio TAC con cambio de ventana a diferentes densidades hace posible determinar la naturaleza del cuerpo extraño cuando éste se aloja por completo a nivel intracraneal. Se comenta el alto riesgo inherente a herida penetrante por objeto de madera.

Palabras clave:
Trauma craneal
Herida penetrante craneal
Cuerpo extraño intracraneal
Madera
Tomografía axial computerizada
Abstract

Two cases of open head trauma with penetrating wound by a wood piece are presented. Vegetal foreign bodies may ron misdiagnosed as they are radiolucent in roentgen examination and show the appearance of air in computerized tomography (CT) scanning. By using different CT windows it is possible to determine the nature of a foreign body when it is completely retained inside the skull. The high risk of infection carried by wooden penetrating wound is emphasized.

Key words:
Head injury
Penetrating cranial wound
Intracranial foreing body
Computarized tomography
Wood

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