Unusual penetrating head injury in children: personal experience and review of the literature

Mackerle, Zdeněk; Gál, Petr

doi:10.1007/s00381-009-0901-z

Cited by 25 publications

(19 citation statements)

References 18 publications

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“…Surgery should be performed as soon as possible with debridement and proper wound closure. [57] Complications include CSF leak, diabetes insipidus, seizures, intracerebral abscess and hydrocephalus. [5859]…”

Section: Introductionmentioning

confidence: 99%

Pediatric head trauma

Alexiou

Sfakianos

Prodromou

2011

J Emerg Trauma Shock

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Section: Introductionmentioning

confidence: 99%

Pediatric head trauma

Alexiou

Sfakianos

Prodromou

2011

J Emerg Trauma Shock

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“…There have been other reports of bizarre transcranial penetrating objects, including transorbital chopsticks, transcranial nails and transfontanelle needles. However, we were unable to identify a previously reported case of a child with a retained object penetrating and exiting the skull, involving the supratentorial and infratentorial compartments and crossing the midline [3,4,5,6,7,8,9,10,11,12,13,14,15]. …”

Section: Discussionmentioning

confidence: 85%

Bilateral Through-and-Through Trajectory of a Low-Velocity Transcranial Penetrating Foreign Object in a Twelve-Month-Old

Heiferman

Hayward²,

Ashley³

2015

Pediatr Neurosurg

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A 12-month-old girl sustained a penetrating intracranial trauma of a thin aluminum rod traversing from the left frontal bone and exiting the right occipital bone. The rod entered the left anterior frontal lobe, traveled through the ventricular system, narrowly missed the right posterior cerebral artery by less than 1 mm and exited through the right cerebellum. The rod was surgically extracted, and the child remained neurologically intact. Pre- and postoperative vascular imaging, antibiotics, seizure prophylaxis and surgical planning are paramount to successful care of these delicate cases.

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“…Due to the non-sterile condition of a low-velocity penetrating object post-operative meningitic doses of antibiotics are essential in fighting potential infections (Mackerle and Gal, 2009), especially in cases where any nasal sinus has been violated by the trajectory of the penetrating object. Our patient was given Vancomycin, Cefepime and Metronidazole for 1 week, and had no postoperative infectious complications.…”

Section: Discussionmentioning

confidence: 99%

Phineas Gage revisited: Modern management of large-calibre penetrating brain injury

Mitchell

Fox

Humphries

et al. 2012

Trauma

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We present the case of a 19-year-old man who suffered a penetrating injury to the brain with a largecalibre steel industrial prybar approximately 1 m long and 2.5 cm wide that was retained in his cranium. The management of this type of injury is discussed, based on our experience with penetrating brain injuries with large-calibre retained objects, from initial presentation to surgical removal of the object to post-operative care. Additionally, given the similarities of the injuries suffered by our patient with those of Phineas Gage, we discuss the extensive lessons learned in treating this type of large-calibre injury.

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Unusual penetrating head injury in children: personal experience and review of the literature

Abstract: The prognosis of such severe trauma could be influenced very positively by a good medical care organization; obviously, the extent of brain tissue laceration is the limiting factor.

Cited by 25 publications

References 18 publications

Pediatric head trauma

Pediatric head trauma

Bilateral Through-and-Through Trajectory of a Low-Velocity Transcranial Penetrating Foreign Object in a Twelve-Month-Old

Phineas Gage revisited: Modern management of large-calibre penetrating brain injury

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