ABSTRACT
The surgical management of penetrating brain injury (PBI) aims to save lives, avert secondary brain insults such as intracranial hypertension, infection and CSF leakage and with timely rehabilitation, to reintegrate the patient into his or her pretrauma social life. Mortality is very high in civilian PBI, however, a handful of patients (nearly five percent) survive, often with good GCS scores and need special attention to prevent complications and improve outcome (Kaufman et al., 1986; Aarabi, 1990; Brandvold et al., 1990; Siccardi et al., 1991; Aarabi et al., 2001; Aldrich et al., 1992).
