Transorbital stab penetrating brain injury. Report of a case


COD: 06_2009_463-466 Categorie: ,

Wellingson Silva Paiva, Felippe Saad*, Eduardo Santamaria Carvalhal,
Robson Luis Oliveira De Amorim, Eberval Gadelha Figuereido, Manoel Jacobsen Teeixera

Ann. Ital. Chir., 80, 6, 2009 463 Ann

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INTRODUCTION: Penetrating injury of the skull and brain is relatively uncommon, representing about 0.4% of head
injuries. In this paper the Authors describe a case of patient victim of transorbital stab with brain injury with good
recovery and review the literature about cranial stab wound.
CASE REPORT: A 23-year-old man was involved in an altercation which resulted in the patient sustaining wounds to
the head, with penetrating in left transorbital, affecting the eye. At arrival to the first trauma center the patient was
conscient and complete responsive with 15 points in Glasgow Coma Scale, and motor deficit grade III. CT scan demonstrated
left periventricular brain hematoma and supraorbital fracture. A four-vessel cerebral angiogram demonstrated no
anormality. In this evolution patient presented good neurologic outcome.
CONCLUSION: In patients conscients with no surgical lesion like our patient, the hospital discharge must occurr after the
angiogram have excluded intracranial vascular lesion.