A 29-year-old male was presented to hospital with his head impaled with a metal bar. He was agitated, with an instable gait and a prominent odor of alcohol on his breath. On examination: Pulse rate: 98/minute Blood pressure: 120/82 mmHg Respiratory rate: 20 breaths/minute Body temperature: 36.8°C He was hemodynamically stable with no apparent complicating injury. His Glasgow Coma Scale score was E2 V3 M5, and no neurological deficits were found. His pupils were 4 mm/4 mm and reactive.
His skull X-ray showed a 10 mm wide metal bar, which was inserted into the right frontal region of the head at a depth of more than 100 mm as shown in (Fig 1 and Fig 2). CT of the head shows a hook-shaped metal bar measuring 51 mm × 46 mm in the right frontal lobe via the frontal bone. According to you, what management strategy should be adopted? Images are attached for reference. *This case is from the…
