Penetrating Head Injury

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FACTS

 

HPI

 

PHYSICAL EXAM

  • evaluate for entry/exit wound, need pictures

IMAGING

  • evaluate for whether there is bithalamic/biventricular injury → these are dismal prognoses
A/P
  • DSA to evaluate for traumatic vasospasm, pseudoaneurysm
 
Figure 1: anterior sinus pentration
Figure 1: anterior sinus pentration