Handle with care, penetrating neurotrauma: Case report and review of literature

Penetrating brain injuries are among the most challenging areas in neurosurgery. Many of these injuries are caused by industrial accidents or criminal assaults. In this case report we present an unusually rare case of a 23-year old man. The man while driving a tractor skidded off and was thrown on an agricultural instrument lying on a wall. The instrument penetrated his right submandibular region and the patient got hung on it. The instrument was successfully removed by his relatives. Neuroimaging showed a tract traversing up to the right parietal lobe. The patient was managed rigorously by a multidisciplinary team for four weeks and was discharged with follow-up care.