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Jan 27, 2023 5 tweets 3 min read Read on X
A #neurosurgery #medtwitter case from #scientissimum. A 34-year-old male presented to the emergency room neurologically intact after sustaining a stabbing to the left temporal region. A CT of the head showed that the knife had penetrated the left temporal bone, left sphenoid 🧠
bone, left pterygopalatine fossa, and left maxillary sinus. A computed tomography angiogram (CTA) showed no obvious vascular injury, but the process was limited due to streak artifact. The patient was taken to the operating room for the planned removal of the knife under 💀
endoscopic visualization and wound debridement. The patient was then taken to the endovascular suite where digital subtraction angiography (DSA) showed a left distal internal maxillary artery and proximal middle meningeal artery injury. 🔪
The left distal internal maxillary artery and proximal middle meningeal artery were embolized with Onyx due to active bleeding. The postoperative head CT showed a very small left temporal lobe hemorrhage with a small amount of pneumocephalus without any hydrocephalus.🏥
The patient was extubated on post-injury day one without any cranial nerve palsies or other neurologic deficits and was discharged on postoperative day two.🧑🏿‍⚕️

Case credit medicalpedia on IG.

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More from @scientissimum

Dec 12, 2022
Hey #medtwitter! Today #scientissimum would like to show you an #emergency #surgery #trauma case. The patient she was found to have suffered a gunshot wound, broken ribs, but otherwise unhurt. There was a bullet entry wound on the left side of her chest.🎈🎈 (1/5)

#MondayMorning
but the rib fracture was seen on the right. Evidence pointed out that after entering the left side, the bullet bounced off across her sternum and into the right breast, fracturing her right rib. Evidence pointed out that after entering the left side, (2/5)
the bullet bounced off across her sternum and into the right breast, fracturing her right rib.
Had the bullet penetrated the left side of the chest, it would have caused injury to the heart and left lung, costing her life. Using a high-resolution CT scan, the doctors were (3/5)
Read 5 tweets

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