Abstract

Rajasekharan C.* and Akhil Krishna

ABSTRACT

A 50 year old retired soldier presented to the emergency department following a generalized seizure. He had sustained a brain injury in artillery shelling 11years prior resulting in right hemiparesis. He underwent wound debridement from the military hospital and was informed that the retained foreign bodies could not be removed of the deep-seated nature .He had complete resolution of his hemiparesis but had recurrent seizures needing hospitalisation 5 times during the last 11years.He had fair control of seizures with sodium valproate. On the day of admission he reported that he had passed a rectangular 8millimetres by 5 millimetres dark coloured metal piece through the left sided craniotomy wound which he failed to produce. Vital signs were normal and physical examination showed that the patient was fully conscious and alert but he had residual right hemiparesis. Routine laboratory investigations were normal.