Nonmissile Penetrating Head Injuries: Surgical Management and Review of the Literature

Li, Xisheng; Yan, Jun; Liu, Chang; Luo, Yu; Liao, Xueming; Lan, Yu; Xiao, Shan

doi:10.1016/j.wneu.2016.11.125

Cited by 42 publications

(71 citation statements)

References 45 publications

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“…Penetrating lesions non missiles, unlike missiles, they not present concentric zone of coagulative necrosis caused by dissipated energy, and this allows a better management that contributes to get better the patient prognosis (1).…”

Section: Discusionmentioning

confidence: 99%

“…The simple radiograph offers information about the penetrating object but does not allow to analyze the cerebral parenchyma in search of damages of the intracranial structures (1,6,7,10).…”

Section: Discusionmentioning

confidence: 99%

“…The use of antiepileptic medication prevents the onset of attacks early, but not late. For this reason, prophylaxis is recommended for the first 7 days after injury (1,7).…”

Section: Discusionmentioning

confidence: 99%

“…Among the cerebrovascular injuries reported in the literature are post-traumatic aneurysms, arteriovenous fistulas, occlusion of large vessels, venous thrombosis and vasospasm (1). Outcome of CSF is a rare complication with incidence of 0.5% and 3% (1,17).…”

Section: Discusionmentioning

confidence: 99%

“…Pituitary, immediate or late dysfunctions can occur (1). However, pituitary dysfunction as a direct result of trauma has been rarely reported (18).…”

Section: Discusionmentioning

confidence: 99%

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Unusual cranial trauma caused by pencil in teenager: case report

Rashid¹,

Abdelrazaq²,

Hoz³

et al. 2017

Romanian Neurosurgery

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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.

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Section: Discusionmentioning

confidence: 99%

“…The simple radiograph offers information about the penetrating object but does not allow to analyze the cerebral parenchyma in search of damages of the intracranial structures (1,6,7,10).…”

Section: Discusionmentioning

confidence: 99%

“…The use of antiepileptic medication prevents the onset of attacks early, but not late. For this reason, prophylaxis is recommended for the first 7 days after injury (1,7).…”

Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

“…Pituitary, immediate or late dysfunctions can occur (1). However, pituitary dysfunction as a direct result of trauma has been rarely reported (18).…”

Section: Discusionmentioning

confidence: 99%

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