Ijaz Lubna, Nadeem Malik Muhammad
Department of Pediatric Neurosurgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.
J Pediatr Neurosci. 2014 Sep-Dec;9(3):267-9. doi: 10.4103/1817-1745.147588.
Penetrating brain injury (PBI) is rare and the severest form of head injury with a high morbidity and mortality. A 3.5-year-old girl presented with PBI with a wheel spoke. Computerized tomography scan with three-dimensional skull reconstruction depicted its extent from the medial side of the roof of the right orbit to the right frontal lobe with a cavitation around the spoke. The spoke was removed by manipulation under general anesthesia from the entry site without a formal craniotomy. Postoperative outcome was uneventful.
穿透性脑损伤（PBI）较为罕见，是最严重的头部损伤形式，发病率和死亡率都很高。一名3.5岁女童因车轮辐条导致穿透性脑损伤。三维颅骨重建的计算机断层扫描显示损伤范围从右眼眶顶内侧至右额叶，辐条周围有空洞形成。在全身麻醉下通过操作从入口处取出辐条，未进行开颅手术。术后恢复顺利。
