Lesión penetrante intracraneana transorbitaria, con compromiso de seno cavernoso en paciente pediátrico

Velez, Esteban Torche; Vilarroel, Pablo Rojas; Figueroa, Franco Vera; Alvarez, Sebastián Vigueras

doi:10.1016/j.neucir.2021.08.001

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2024

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“…Children's skulls do not become fully ossified until two years of age; therefore, they are more susceptible to skull fracture after non-missile or low-velocity penetrating trauma. The most common entry locations are the thin-walled orbit and the squamous temporal bone [32][33][34]. Bihemispheric injury and ventricular transgression are associated with worse outcomes (Figure 2).…”

Section: Structuralmentioning

confidence: 99%

Penetrating Craniocerebral Injury in Pediatric Patients

Plonsker¹,

Brandel²,

Khan³

et al. 2022

Frontiers in Traumatic Brain Injury

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Penetrating head trauma is rare in the pediatric population, and rarer still in the civilian pediatric population. The high rehabilitation potential of children and the higher likelihood of a low-velocity, survivable injury necessitates careful management to minimize morbidity due to secondary injury from ischemia or infection. Management of penetrating injuries includes patient stabilization, appropriate imaging, and if surgery is needed, entry/exit site debridement with dural closure to prevent cerebrospinal fluid leak. Post-operative care includes infection prevention, intracerebral pressure management, and early identification of vasospasm and pseudoaneurysm formation.

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Section: Structuralmentioning

confidence: 99%