Unusual cranial trauma caused by pencil in teenager: case report
Autor: | Mohammed A. Al-Dhahir, Huber Padilla, Amer Saeed Rashid, Ramos-Villegas Yancarlos, Samer S. Hoz, Luis Rafael Moscote-Salazar, Daniela López-Cepeda, Saif Saood Abdelrazaq |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
penetrating injuries
medicine.medical_specialty neurotrauma business.industry Head injury General Medicine medicine.disease Trauma lcsh:RC346-429 Pencil (optics) Cranial trauma 03 medical and health sciences 0302 clinical medicine 030221 ophthalmology & optometry medicine Radiology business 030217 neurology & neurosurgery head injury lcsh:Neurology. Diseases of the nervous system |
Zdroj: | Romanian Neurosurgery, Vol 31, Iss 4, Pp 545-550 (2017) |
ISSN: | 2344-4959 |
Popis: | Introduction: Penetrating lesions by pencil in the temporal lobe in children and adolescents are uncommon. We present the case of a teenager with penetrating injury by strange object in the temporal lobe. Case: Twelve years old male patient, with history of trauma while he was playing with his friends, presents alteration of the consciousness state, weakness in right hemibody and dysphasia. Urgent surgery is practiced employing an incision in “C” form with improvement of the consciousness state during post-operative. Discussion: Penetrating lesions in the skull and brain are classified as missiles and non-missiles depending of their impact velocity. The wood is a porous organic material that provide a natural deposit of microbian agents, making it potentially lethal. Pre-operative radiological evaluation allows check the trajectory of the penetrating object and secondary lesions present guiding de neurosurgical approach. The prognostic depends on penetration site, timely handling and complications associated. Conclusion: Penetrating lesions by pencil are uncommon, an appropriate imaging evaluation is fundamental to determine the neurosurgical approach that allows prevent and/or decrease secondary damage. |
Databáze: | OpenAIRE |
Externí odkaz: |