Unusual cranial trauma caused by pencil in teenager

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 frien...

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Main Authors: Amer Saeed Rashid, Saif Saood Abdelrazaq, Samer S. Hoz, Huber Padilla, Ramos-Villegas Yancarlos, Daniela López-Cepeda, Mohammed Al-Dhahir, Luis Rafael Moscote-Salazar
Format: Article
Language:English
Published: London Academic Publishing 2017-12-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1048
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author Amer Saeed Rashid
Saif Saood Abdelrazaq
Samer S. Hoz
Huber Padilla
Ramos-Villegas Yancarlos
Daniela López-Cepeda
Mohammed Al-Dhahir
Luis Rafael Moscote-Salazar
author_facet Amer Saeed Rashid
Saif Saood Abdelrazaq
Samer S. Hoz
Huber Padilla
Ramos-Villegas Yancarlos
Daniela López-Cepeda
Mohammed Al-Dhahir
Luis Rafael Moscote-Salazar
author_sort Amer Saeed Rashid
collection DOAJ
description 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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spelling doaj.art-0b363346c06f40239844280fb41aef402022-12-22T03:20:32ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592017-12-01314Unusual cranial trauma caused by pencil in teenagerAmer Saeed RashidSaif Saood AbdelrazaqSamer S. HozHuber PadillaRamos-Villegas YancarlosDaniela López-CepedaMohammed Al-DhahirLuis Rafael Moscote-SalazarIntroduction: 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.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1048penetrating injuriesneurotraumahead injuryTrauma
spellingShingle Amer Saeed Rashid
Saif Saood Abdelrazaq
Samer S. Hoz
Huber Padilla
Ramos-Villegas Yancarlos
Daniela López-Cepeda
Mohammed Al-Dhahir
Luis Rafael Moscote-Salazar
Unusual cranial trauma caused by pencil in teenager
Romanian Neurosurgery
penetrating injuries
neurotrauma
head injury
Trauma
title Unusual cranial trauma caused by pencil in teenager
title_full Unusual cranial trauma caused by pencil in teenager
title_fullStr Unusual cranial trauma caused by pencil in teenager
title_full_unstemmed Unusual cranial trauma caused by pencil in teenager
title_short Unusual cranial trauma caused by pencil in teenager
title_sort unusual cranial trauma caused by pencil in teenager
topic penetrating injuries
neurotrauma
head injury
Trauma
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1048
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