Indian Journal of Neurotrauma 2016; 13(01): 046-049
DOI: 10.1055/s-0036-1580719
Case Report
Neurotrauma Society of India

Key in Brain: An Interesting Case of Civilian Penetrating Head Injury

Nitin Kotecha
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Batuk Diyora
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Swapnil Patil
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Sachin Giri
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Alka Raka
2   Department of Dermatology, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Alok Sharma
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

18 December 2015

18 January 2016

Publication Date:
06 April 2016 (online)

Abstract

Civilian penetrating head injuries are not common, and the occurrence of such injuries in the pediatric population is rare. Pediatric penetrating head injuries are low-velocity injuries, resulting from household objects. Presentation entirely depends on the area of the brain involved. There are several management dilemmas related to the nature, size, shape, and location of the object, but always warrants removal of the foreign body into the operation theater. The outcome depends on the presenting neurological status of the patient, which reflects underlying parenchymal injury. We are reporting an interesting case of civilian penetrating head injury in a 5-year-old female child with a key in the brain. Computed tomographic scan of the brain revealed a household key penetrated through the right temporal bone. The patient underwent a surgical procedure for the removal of the key. She recovered well without any neurological deficit.

 
  • References

  • 1 Pascual JM, Navas M, Carrasco R. Penetrating ballistic-like frontal brain injury caused by a metallic rod. Acta Neurochir (Wien) 2009; 151 (6) 689-691
  • 2 Salar G, Costella GB, Mottaran R, Mattana M, Gazzola L, Munari M. Multiple craniocerebral injuries from penetrating nails. Case illustration. J Neurosurg 2004; 100 (5) 963
  • 3 Koestler J, Keshavarz R. Penetrating head injury in children: a case report and review of the literature. J Emerg Med 2001; 21 (2) 145-150
  • 4 Bakay L, Glasauer FE, Grand W. Unusual intracranial foreign bodies. Report of five cases. Acta Neurochir (Wien) 1977; 39 (3–4) 219-231
  • 5 Herring CJ, Lumsden AB, Tindall SC. Transcranial stab wounds: a report of three cases and suggestions for management. Neurosurgery 1988; 23 (5) 658-662
  • 6 Nakayama Y, Tanaka A, Arita T, Kumate S, Yoshinaga S. Penetrating head injury caused by weed—case report [in Japanese]. No To Shinkei 1995; 47 (12) 1192-1194
  • 7 Domingo Z, Peter JC, de Villiers JC. Low-velocity penetrating craniocerebral injury in childhood. PediatrNeurosurg 1994; 21 (1) 45-49
  • 8 Orbay AS, Uysal OA, Iyigün O, Erkan D, Güldoğuş F. Unusual penetrating faciocranial injury caused by a knife: a case report. J CraniomaxillofacSurg 1997; 25 (5) 279-281
  • 9 Folio L, Solomon J, Biassou N , et al. Semi-automated trajectory analysis of deep ballistic penetrating brain injury. Mil Med 2013; 178 (3) 338-345
  • 10 Haworth CS, de Villiers JC. Stab wounds to the temporal fossa. Neurosurgery 1988; 23 (4) 431-435
  • 11 Kodadek LM, Leeper WR, Caplan JM, Molina C, Stevens KA, Colby GP. Retained transcranial knife blade with transection of the internal carotid artery treated by staged endovascular and surgical therapy: technical case report. Neurosurgery 2015; 11 (Suppl. 02) E372-E375 , discussion E375
  • 12 Tan MH, Choudhari KA. Penetrating head injury from an electrical plug. Injury 2003; 34 (12) 950-953
  • 13 Hagan RE. Early complications following penetrating wounds of the brain. J Neurosurg 1971; 34 (2 Pt 1): 132-141
  • 14 Jimenez CM, Polo J, España JA. Risk factors for intracranial infection secondary to penetrating craniocerebral gunshot wounds in civilian practice. World Neurosurg 2013; 79 (5–6) 749-755
  • 15 Kazim SF, Shamim MS, Tahir MZ, Enam SA, Waheed S. Management of penetrating brain injury. J Emerg Trauma Shock 2011; 4 (3) 395-402