Survival with good outcome after traversing brainstem injury: case report.


Journal Article

OBJECTIVE: A penetrating injury to the brainstem is usually a fatal injury. The number of cases in which the brainstem is traversed during the injury and the patient survives is exceedingly small. CLINICAL PRESENTATION: We report a case of an automobile collision in which blunt injury to the face of a 22-year-old man resulted in a fragment of the clivus being impacted posteriorly traversing through the pons in a left-sided through-and-through manner. The striking radiographic images demonstrate a potentially devastating brainstem injury. Surprisingly, the patient was able to follow commands and move his left side on arrival at the hospital. INTERVENTION: The patient required a temporary tracheostomy and underwent surgical repair of his facial fractures. His hospital course was complicated by meningitis, and he required a long stay on the rehabilitation service. The patient made a remarkable recovery and became able to converse and walk with assistance. He has been able to live independently. CONCLUSION: The striking radiographic images of this rare case illustrate an unusual pathology with an even more unusual outcome.

Full Text

Cited Authors

  • Manning, TC; Hallam, D; Britz, GW

Published Date

  • March 2008

Published In

Volume / Issue

  • 62 / 3

Start / End Page

  • E749 - E749

PubMed ID

  • 18425002

Pubmed Central ID

  • 18425002

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

International Standard Serial Number (ISSN)

  • 0148-396X

Digital Object Identifier (DOI)

  • 10.1227/01.neu.0000317328.17225.1c


  • eng