Diagnosis and management of occult non-missile penetrating brain injury

Abstract Penetrating brain injury (PBI) is a subtype of traumatic brain injury (TBI) that has been steadily increasing in prevalence and causing significant mortality in trauma patients. In an emergent setting, it is important to determine the mechanism of injury and decide whether a PBI or a blunt TBI has occurred in order to guide diagnostic imaging and subsequent treatment. In cases where a PBI has been likely or has occurred, it is important to initiate treatment expeditiously as rapid interventions have been shown to lead to better outcomes. However, in cases of unwitnessed pediatric trauma, it can be difficult to ascertain the specific method of injury due to a lack of reliable sources. In such cases of unwitnessed trauma, PBI should be included in the differential of any orbitocranial injury. In this series, we present two cases of unwitnessed pediatric orbitocranial injury that highlight the importance of gathering a detailed history, obtaining appropriate imaging studies, and using physician intuition..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Child's nervous system - 39(2023), 9 vom: 30. Mai, Seite 2543-2549

Sprache:

Englisch

Beteiligte Personen:

Galvan, Bernardo [VerfasserIn]
Holder, Katherine G. [VerfasserIn]
Pirtle, Andrew [VerfasserIn]
Doan, Jeremy [VerfasserIn]
Patel, Parth U. [VerfasserIn]
Belirgen, Muhittin [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

CT (computed tomography)
MRI (magnetic resonance imaging)
Orbitocranial
Penetrating brain injury
Traumatic brain injury

RVK:

RVK Klassifikation

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s00381-023-06002-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2145039244

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