Browse > Article

Penetrating Orbitocranial Injury of a Pencil in a Pediatric Patient  

Hwang, Sun-Chul (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital)
Publication Information
Journal of Trauma and Injury / v.25, no.1, 2012 , pp. 28-31 More about this Journal
Abstract
Pencils are common instruments for children to use and play with. This report describes an unusual penetrating orbitocranial injury in a 5-year-old girl who was struck in her facewith a pencil. She was holding it at a desk, and her friend pushed her back. The pencil penetrated the left lower eyelid and went deep into the right frontal lobe through the base of the skull. It was removed at the emergency room, after which brain CT was performed to detect the development of an intracranial hematoma. No complications occurred after conservative management with antibiotics and an antiepileptic drug. Pencils can be hazardous to children, and a penetrating head injury with a pencil may be managed without cranial surgery.
Keywords
Head injury; Penetrating; Child;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Lee MJ, Park JS.Clinical aspects of injury and acute poisoning in Korean pediatric patients. Korean J Pediatr 2008;51:116-21.   DOI
2 Fisher SB, Clifton MS, Bhatia AM. Pencils and pens: an under-recognized source of penetrating injuries in children. Am Surg 2011;77:1076-80.
3 Seider N, Gilboa M, Lautman E, Miller B. Delayed presentation of orbito-cerebral abscess caused by penciltip injury. Ophthal Plast Reconstr Surg 2006;22:316-7.   DOI
4 Kaiser MC, Rodesch G, Capesius P. CT in a case of intracranial penetration of a pencil. A case report. Neuroradiology 1983;24:229-31.   DOI
5 Kazim SF, Shamim MS, Tahir MZ, Enam SA, Waheed S. Management of penetrating brain injury. J Emerg Trauma Shock 2011;4:395-402.   DOI
6 Mackerle Z, Gal P. Unusual penetrating head injury in children: personal experience and review of the literature. Childs Nerv Syst 2009;25:909-13.   DOI
7 Al-Sebeih K, Karagiozov K, Jafar A. Penetrating craniofacial injury in a pediatric patient. J Craniofac Surg 2002;13:303-7.   DOI
8 Yamashita T, Mikami T, Baba T, Minamida Y, Sugino T, Koyanagi I, et al. Transorbital intracranial penetrating injury from impaling on an earpick. J Neuroophthalmol 2007;27:48-9.   DOI
9 Antiseizure prophylaxis for penetrating brain injury. J Trauma 2001;51:S41-3.   DOI
10 Kwak SH, Lee SY, Cha SH, Kang MH, Cho BS, Han GS, et al. Massive Subarachnoid Pneumocephalus due to Transorbital Intracranial Penetrating Injury: A Case Report. J Korean Soc Radiol 2011;65:447-50.   DOI
11 Gulsen S, Aydin G, Comert S, Altinors N. Rapid Development of Brain Abscess Caused by Streptococcus Pyogenes Following Penetrating Skull Injury via the Ethmoidal Sinus and Lamina Cribrosa. J Korean Neurosurg Soc 2010;48:73-8.   DOI
12 Kim S, Lee JY, Song JS, Oh J. Transorbital-intracranial injury by a chopstick: three-dimensional computed tomography. Acta Ophthalmol Scand 2005;83:609-10.   DOI
13 Gates TR, Hardjasudarma M. Computed tomography findings of an intraorbital pencil. Am J Emerg Med 1993;11:433-4.   DOI
14 Sharif S, Roberts G, Phillips J. Transnasal penetrating brain injury with a ball-pen. Br J Neurosurg 2000;14:159-60.   DOI
15 Park YG. A case of orbitocranial foreign body. J Korean Ophthalmol Soc 1974;15:386-9.