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Unusual Traumatic Intracranial Foreign Bodies

Li Ling,Li Xuewen,Jiang Xianhui Department of Surgery,2nd Teaching Hospital,Wuhan Medical College,WuhanHuang GuangzhaoSection of Forensic Medicine,Department of Pathology,Faculty of Basic Medical Sciences,Wuhan Medical College,Wuhan Ping Ding Mountain Colliery's Hospital  
From April 1960 to March 1979,among more than 4000 cases of craniocerebral injuries,we had noticed 11 cases with foreign bodies remaining in the cranium,which were not caused by rifleshot.All of them belonged to clinical cases.The causes of their wounds were generally injuries sustained in their work in industries,suicides,attacks by opponents and accidents.The other two cases,seen by forensic medicine autopsy were also included in this series.It adds up to 13 cases.After surgical treatment,10 cases were recovered completely and only one died.As stated above,the possibility of foreign bodies still left in the cranium in all cranial piercings and wounds should be seriously considered.For diagnosis sake,it is necessary to have X-ray examination first.In the operation procedure,we must take care (1) to get rid off the foreign bodies,(2) to remove all the drifting bone pieces,(3)to eliminate all the contaminated soft tissue of the scalp,(4) to eliminate all the breakages,malaccic and necrotized cerebral tissue,(5) treatment of cerebral edema,(6) prevention and treatment of the complications (such as hematoma,abscess,cere-brospinal fluid leakage) induced by the foreign bodies in the cranium.
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