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Related Experiment Videos

Transorbital stab wound: a case report

Y Erşahin1, S Mutluer, E Güzelbağ

  • 1Division of Pediatric Neurosurgery, Aegean University Faculty of Medicine, Izmir.

The Turkish Journal of Pediatrics
|January 1, 1994
PubMed
Summary

A nail penetrating a child's skull through the eye socket is rare but dangerous. Prompt surgical removal and antibiotic treatment are crucial for survival and preventing complications like meningitis.

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Area of Science:

  • Neurosurgery
  • Pediatric Trauma
  • Ophthalmology

Background:

  • Stab wounds to the skull are infrequent, often accidental in children, and can lead to severe outcomes like vascular damage or infection.
  • Orbital roof penetration by foreign objects poses a significant risk of intracranial injury.

Observation:

  • A 5-year-old boy sustained a cranial penetrating injury from a nail entering the left intraorbital region.
  • Computed tomographic (CT) scans confirmed the nail traversed the left orbital roof, extending towards the left anterior clinoid process.

Findings:

  • Surgical removal of the cranial penetrating object was performed under general anesthesia.
  • Post-operative meningitis developed but successfully responded to antibiotic therapy.

Implications:

  • This case highlights the critical importance of prompt diagnosis and management of pediatric cranial penetrating injuries.
  • Early intervention and appropriate antibiotic use are vital for preventing severe neurological complications and ensuring favorable outcomes.

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