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Pediatric penetrating brain injuries with intact neurological function: Two case reports of a pencil and a toy wheel

Shuja Shaukat1, Syeda Mahrukh Fatima Zaidi2, Irfan Ali Shah1

  • 1Department of Neurosurgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, Pakistan.

SAGE Open Medical Case Reports
|July 26, 2024
PubMed

Insights

Pediatric penetrating brain injuries from unusual objects like pencils can occur. Fortunately, some children experience no neurological deficits, highlighting the importance of prompt surgical care.

Area of Science:

  • Pediatric neurosurgery
  • Trauma surgery
  • Pediatric neurology

Background:

  • Accidental injuries are frequent in children, with unique anatomical and physiological responses.
  • Penetrating trauma in pediatric patients can lead to significant morbidity, but outcomes vary.
  • Intracranial injuries in children require specialized management due to developmental differences.

Observation:

  • Two pediatric cases of penetrating intracranial trauma involving a pencil and a toy wheel are presented.
  • Both injuries extended intracranially, posing a significant risk of neurological damage.
  • Despite the severity of the trauma, neither child exhibited observable neurological deficits.

Findings:

  • Unusual objects can cause penetrating brain injuries in children.
  • Intracranial foreign bodies, even with significant extension, do not always result in neurological deficits.
  • Early surgical intervention and careful perioperative management are crucial for favorable outcomes.

Implications:

  • Prompt removal of intracranial foreign bodies is essential in pediatric penetrating brain injuries.
  • Meticulous perioperative care can mitigate the risk of long-term neurological sequelae.
  • These cases underscore the potential for benign outcomes in pediatric penetrating brain trauma with appropriate management.

Keywords:
Penetrating brain injuryhead traumapediatrics

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