Open AccessTransorbital penetrating brain injury to frontal lobe by a wheel spoke
Author(s) -
Lubna Ijaz,
Malik Muhammad Nadeem
Publication year - 2014
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.147588
Subject(s) - medicine , craniotomy , frontal lobe , skull , computed tomography , surgery , orbit (dynamics) , coronal plane , girl , anatomy , engineering , aerospace engineering , psychology , developmental psychology , psychiatry
Penetrating brain injury (PBI) is rare and the severest form of head injury with a high morbidity and mortality. A 3.5-year-old girl presented with PBI with a wheel spoke. Computerized tomography scan with three-dimensional skull reconstruction depicted its extent from the medial side of the roof of the right orbit to the right frontal lobe with a cavitation around the spoke. The spoke was removed by manipulation under general anesthesia from the entry site without a formal craniotomy. Postoperative outcome was uneventful.