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Surgical treatment of a transorbital penetrating brain injury

Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell fo...

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Detalles Bibliográficos
Autores principales: Paiva, Wellingson Silva, Monaco, Bernardo, Prudente, Marcelo, Soares, Matheus Schimidt, de Amorim, Robson Luis Oliveira, de Andrade, Almir Ferreira, Teixeira, Manoel Jacobsen
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2952611/
https://www.ncbi.nlm.nih.gov/pubmed/20957055
http://dx.doi.org/10.2147/OPTH.S9638
Descripción
Sumario:Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital injury, resulting in meningitis. We performed a combined surgical approach with neurosurgeons and ophthalmogic surgeons. Upon discharge, the patient had a Glasgow Coma Scale score of 15, no motor deficit and no visual loss. We discuss the management of this case and review current literature.