Brenke Christopher, Fontana Johann, Schmieder Kirsten, Barth Martin
Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany.
J Neurol Surg A Cent Eur Neurosurg. 2013 Dec;74 Suppl 1:e239-41. doi: 10.1055/s-0033-1348349. Epub 2013 Aug 16.
Transorbital penetrating injuries are rare and present with a heterogeneity of intracranial injury patterns that require individualized therapeutic procedures. In this report, we describe the case of a distal basilar artery laceration in a 16-month-old boy caused by accidental transorbital penetration with a pencil. Surgical removal of the pencil was performed, but hemostasis could only be achieved by clipping the impaired vessel. Adequate diagnostics and an individualized surgical strategy are necessary to deal with these life-threatening injuries.
