J 2009

Unusual penetrating head injury in children: personal experience and review of the literature

MACKERLE, Zdeněk a Petr GÁL

Základní údaje

Originální název

Unusual penetrating head injury in children: personal experience and review of the literature

Autoři

MACKERLE, Zdeněk (203 Česká republika, garant, domácí) a Petr GÁL (203 Česká republika)

Vydání

Childs nervous system, Springer, 2009, 0256-7040

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.214

Kód RIV

RIV/00216224:14110/09:00069068

Organizační jednotka

Lékařská fakulta

UT WoS

000267484800002

Klíčová slova anglicky

Penetrating head injury – Unusual head trauma – Children fall – Stab injury

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 21. 8. 2013 15:01, MUDr. Zdeněk Mackerle, Ph.D.

Anotace

V originále

Introduction A penetrating head injury belongs to the most severe traumatic brain injuries, in which communication can arise between the intracranial cavity and surrounding environment. Discussion The authors present a literature review and typical case reports of a penetrating head injury in children. The list of patients treated at the neurosurgical department in the last 5 years for penetrating TBI is briefly referred. Rapid transfer to the specialized center with subsequent urgent surgical treatment is the important point in the treatment algorithm. It is essential to clean the wound very properly with all the foreign material during the surgery and to close the dura with a water-tight suture. Wide-spectrum antibiotics are of great use. In case of large-extent brain damage, the use of anticonvulsants is recommended. Conclusion The prognosis of such severe trauma could be influenced very positively by a good medical care organization; obviously, the extent of brain tissue laceration is the limiting factor.