Document Type: Case Report

Authors

Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy

Abstract

Objective: One of the most frequent causes of death and acquired disability in the pediatric population is the Traumatic Brain Injury (TBI). TBI is secondary to falls, road traffic and vehicle collisions, child abuse and assaults. Penetrating brain injury is a severe form of traumatic brain injury. Blunt head injury is more frequent than TBI in children, but the second one carries a poor prognosis and a worse outcomes.
Case Presentation: We report a pediatric case of penetrating craniofacial trauma, caused by a pencil in to the eye, and the successful of multidisciplinary management.
Conclusion: Traumatic head injuries in children are frequently seen in the emergency ward, but the penetrating head injuries are unusual in young children. This case shows the importance of the ‘first golden hour’ after head trauma. The collaboration between team members, added to a promptly and invasive strategy, allowed to reduce neurological sequelae.

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Main Subjects

1. Karim T, Topno M. An unusual case of penetrating head injury in a child. J Emerg Trauma Shock 2010; 3(2): 197-8.
doi: 10.4103/0974-2700.62113.
2. Atabaki SM. Pediatric head injury. Pediatr Rev 2007; 28(6): 215-24. doi: 10.1542/pir.28-6-215.
3. Rasmussen LK. Neurocritical care for severe pediatric traumatic brain injury. Medscape; Updated: May 30, 2018. https://emedicine.medscape.com/article/909105-
overview#a1.
4. Drosos E, Giakoumettis D, Blionas A, Mitsios A, Sfakianos G, Themistocleous M. Pediatric nonmissile penetrating head
injury: case series and literature review. World Neurosurg 2018; 110: 193-205. doi: 10.1016/j.wneu.2017.11.037.
5. Mikhael M, Frost E, Cristancho M. Perioperative care for pediatric patients with penetrating brain injury: a review.
J Neurosurg Anesthesiol 2018; 30(4): 290-8. doi: 10.1097/ana.0000000000000441.