Penetrating Brain Injury by an Iron Bar in a Child
- International Journal of Neurosurgery , 5 (1) : 33-37
Résumé
Abstract: Introduction: Penetrating brain injury is not common among the civilian population and it is rare in children. The use of computed tomography is essential for decision-making in the management of patient’s with penetrating brain injury. Here, we report a case about the management of a penetrating brain injury by an iron bar in a child after an assault.
Case report:
We describe a case of a 5-year old male, who was admitted to the trauma emergency unit of the Hospital Center University Yalgado OUEDRAOGO on April 1, 2019 with an iron bar stuck into the head, one hour after the injury. The patient was aware. He was complained about headaches and was agitated. His vitals were stable. At the initial examination, there was no neurological disorder. Cranial computerized tomography showed iron bar planted deep into the left frontal lobe and directed obliquely into the right frontal lobe. Patient’s agitation has led to a displacement of the iron bar. New examination has revealed right hemiparesia. An emergency surgery was performed. The patient was discharged without any complications.
Conclusion:
Penetrating brain injuries by an iron bar are rare in children. Children must be kept calm in order to avoid the displacement of the iron because it can increase the risk of cerebral damage. An earlier management provides better prognosis.
Mots-clés
Penetrating Brain Injury, Child, Iron Bar