| Peer-Reviewed

Penetrating Brain Injury by an Iron Bar in a Child

Received: 12 April 2021    Accepted: 5 May 2021    Published: 14 May 2021
Views:       Downloads:
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.

Published in International Journal of Neurosurgery (Volume 5, Issue 1)
DOI 10.11648/j.ijn.20210501.18
Page(s) 33-37
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Penetrating Brain Injury, Child, Iron Bar

References
[1] Fahde Y, Laghmari M, Skoumi M. Penetrating head trauma: 03 rare cases and literature review. Pan Afr Med J. 2017; 28: 305.
[2] Lan ZG, Richard SA, Li J, Yang C. Nonprojectile penetrating iron rod from the oral cavity to the posterior cranial fossa: a case report and review of literature. Int Med Case Rep J. 2018; 11: 41–45.
[3] Tabibkhooei A, Taheri M, Rohani S, Chanideh I, Rahatlou H. Penetrating brain injury with a metal bar and a knife: Report of two interesting cases. Neuroradiol J. 2017; 0 (00): 1–4.
[4] Badhiwala JH, Blackham JR, Bhardwaj RD. Neuropsychiatric changes following penetrating head injury in children. Surg Neurol Int. 2014; 5: 154.
[5] Karim T, Topno M. An unusual case of penetrating head injury in a child. J Emerg Trauma Shock. 2010; 3: 197-198.
[6] Zabsonre DS, Sanou A, Dao I, Alzouma H, Yameogo P, Lankoande H, et al. Penetrating Head Injury by Traditional Agriculture Tool. Ann Emerg Surg. 2017; 2 (4): 1019.
[7] Mathew P, Nott DM, Gentleman D. Safe management of paediatric penetrating head injury without a CT scanner: A strategy for humanitarian surgeons based on experience in southern Afghanistan. Ann R Coll Surg Engl. 2016; 98: 198–205.
[8] Sonmez E, Borcek AO, Guven C, Hasturk AE. An Iron Rod Stuck in the Right Motor Cortex. Turk Neurosurg. 2012; 22 (6): 772-774.
[9] Yusuf AS, Mahmud MR, Alfin JD, Adeleke NA. Clinical presentation and outcome of impalement craniocerebral injuries – a case series. J West Afr Coll Surg. 2017; 7 (2): 112-123.
[10] Muballe KD, Hardcastle T, Kiratu E. Neurological findings in pediatric penetrating head injury at a university teaching hospital in Durban, South Africa: a 23-year retrospective study. J Neurosurg Pediatr. 2016; 18: 550–557.
[11] Murgio A. Epidemiology of traumatic brain injury in children. Rev Esp neuropsicol. 2003; 5 (2): 137-161.
[12] Bahloul M, Chelly H, Gargouri R, Dammak H, Kallel H, Ben Hamida C et al. Traumatismes crâniens chez l’enfant dans le sud tunisien profil épidémiologique, manifestations cliniques et évolution. A propos de 454 cas. Tunis Med. 2009; 87 (01): 28-37.
[13] Gizaa CC, Mink RB, Madikians A. Pediatric traumatic brain injury: not just little adults. Curr Opin Crit Care. 2007; 13: 143–152.
[14] Araki T, Yokota H, Morita A. Pediatric Traumatic Brain Injury: Characteristic Features, Diagnosis, and Management. Neurol Med Chir (Tokyo). 2017; 57: 82–93.
[15] Alhabdan S, Zamakhshary M, AlNaimi M, Mandora H, Alhamdan M, Al-Bedah K. Epidemiology of traumatic head injury in children and adolescents in a major trauma center in Saudi Arabia: implications for injury prevention. Ann Saudi Med. 2013; 33 (1): 52-56.
[16] Young M, Putty M, Finneran MM, Johnson R, Schaible K, Farhat H. Multidisciplinary Management of Lowvelocity Nonmissile Penetrating Head Injuries. Cureus. 2020; 12 (3): e7388.
[17] Miscusi M, Arangio P, De Martino L, De-Giorgio F, Cascone P, Raco A. An unusual case of orbito-frontal rod fence stab injury with a good outcome. BMC Surg. 2013; 13: 31.
[18] Diyoraa B, Kotechaa N, Mullaa M, Detheb S, Bhendea B, Patila S. Perforating head injury with iron rod and its miraculous escape: Case report and review of literature. Trauma Case Rep. 2018; 14: 11–19.
[19] Shi L, Sun Y, Chen L, Xue H, Zhang W, Yang H. Diagnosis and treatment of a penetrating brain injury caused by a welding electrode a case report. Medicine. 2019; 98: 10 (e14528).
[20] Salaou O, Naja A, Aboudou Y, Ibahiouin K, Elkamar A, El Azhari A. Prise en charge des plaies craniocérébrales de l’enfant (A propos de 60 cas). Afr J Neurol Sci. 2006; 25 (1): 50-58.
Cite This Article
  • APA Style

    Yameogo Wendlasida Serge Pacome Arnauld, Zabsonre Denlewende Sylvain, Taoko Lassane 1er Jumeau, Jemel Hafedh, Kabre Abel. (2021). Penetrating Brain Injury by an Iron Bar in a Child. International Journal of Neurosurgery, 5(1), 33-37. https://doi.org/10.11648/j.ijn.20210501.18

    Copy | Download

    ACS Style

    Yameogo Wendlasida Serge Pacome Arnauld; Zabsonre Denlewende Sylvain; Taoko Lassane 1er Jumeau; Jemel Hafedh; Kabre Abel. Penetrating Brain Injury by an Iron Bar in a Child. Int. J. Neurosurg. 2021, 5(1), 33-37. doi: 10.11648/j.ijn.20210501.18

    Copy | Download

    AMA Style

    Yameogo Wendlasida Serge Pacome Arnauld, Zabsonre Denlewende Sylvain, Taoko Lassane 1er Jumeau, Jemel Hafedh, Kabre Abel. Penetrating Brain Injury by an Iron Bar in a Child. Int J Neurosurg. 2021;5(1):33-37. doi: 10.11648/j.ijn.20210501.18

    Copy | Download

  • @article{10.11648/j.ijn.20210501.18,
      author = {Yameogo Wendlasida Serge Pacome Arnauld and Zabsonre Denlewende Sylvain and Taoko Lassane 1er Jumeau and Jemel Hafedh and Kabre Abel},
      title = {Penetrating Brain Injury by an Iron Bar in a Child},
      journal = {International Journal of Neurosurgery},
      volume = {5},
      number = {1},
      pages = {33-37},
      doi = {10.11648/j.ijn.20210501.18},
      url = {https://doi.org/10.11648/j.ijn.20210501.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210501.18},
      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.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Penetrating Brain Injury by an Iron Bar in a Child
    AU  - Yameogo Wendlasida Serge Pacome Arnauld
    AU  - Zabsonre Denlewende Sylvain
    AU  - Taoko Lassane 1er Jumeau
    AU  - Jemel Hafedh
    AU  - Kabre Abel
    Y1  - 2021/05/14
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijn.20210501.18
    DO  - 10.11648/j.ijn.20210501.18
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 33
    EP  - 37
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20210501.18
    AB  - 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.
    VL  - 5
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Surgery, Regional Hospital Center University of Ouahigouya, Ouahigouya, Burkina Faso

  • Department of Neurosurgery, Hospital Center University Yalgado Ouedraogo, Ouagadougou, Burkina Faso

  • Department of Neurosurgery, Hospital Center University Yalgado Ouedraogo, Ouagadougou, Burkina Faso

  • Department of Neurosurgery, Hospital Center University Yalgado Ouedraogo, Ouagadougou, Burkina Faso

  • Department of Neurosurgery, University of Tunis El Manar, Tunis, Tunisia

  • Sections