Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Pen injury: a rare complication.

D J Loes¹, W R Smoker, A H Menezes

¹Department of Radiology, University of Iowa Hospitals and Clinics; Iowa City.

Pediatric Neurology

|January 1, 1987

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

CSF and plasma neuro-biomarker dynamics after gene therapy for cerebral adrenoleukodystrophy.

Molecular therapy. Advances·2026

Same author

Childhood Cerebral Adrenoleukodystrophy: MR Perfusion Measurements and Their Use in Predicting Clinical Outcome after Hematopoietic Stem Cell Transplantation.

AJNR. American journal of neuroradiology·2016

Same author

Metachromatic leukodystrophy: a scoring system for brain MR imaging observations.

AJNR. American journal of neuroradiology·2009

Same author

Midline anterior craniofacial approach for malignancy: results of en bloc versus piecemeal resections.

Skull base surgery·2006

Same author

Analysis of MRI patterns aids prediction of progression in X-linked adrenoleukodystrophy.

Neurology·2003

Same author

Successful use of rib grafts for cranioplasty in children.

Pediatric neurosurgery·2001

A child suffered an internal carotid artery occlusion after a fall, with the pen tip lodged in the cerebellum. Remarkably, no neurological deficits were observed despite the severe injury.

Area of Science:

Pediatric Traumatology
Vascular Surgery
Neurology

Background:

Pen injuries are uncommon but can cause severe damage.
Intra-oral trauma poses unique challenges due to proximity to vital structures.
Internal carotid artery (ICA) injuries require prompt diagnosis and management.

Observation:

An 18-month-old male experienced an intra-oral injury from falling on a pen.
The pen caused occlusion of the internal carotid artery.
The pen tip was found to be lodged within the cerebellum.

Findings:

Despite the ICA occlusion, the patient exhibited no apparent neurological deficits.
Surgical intervention successfully removed the pen tip from the cerebellum.
The case highlights the brain's potential for collateral circulation and compensation.

Related Experiment Videos

Implications:

This case underscores the importance of considering vascular injury in pediatric intra-oral trauma.
It emphasizes the need for advanced imaging and surgical expertise in managing such complex injuries.
The findings suggest that prompt surgical removal of foreign bodies can lead to favorable outcomes even in severe vascular compromise.