Indian Journal of Neurotrauma 2016; 13(01): 046-049
DOI: 10.1055/s-0036-1580719
Case Report
Neurotrauma Society of India

Key in Brain: An Interesting Case of Civilian Penetrating Head Injury

Nitin Kotecha
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Batuk Diyora
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Swapnil Patil
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Sachin Giri
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Alka Raka
2   Department of Dermatology, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Alok Sharma
1   Department of Neurosurgery, Lokmanya Tilak Medical College and Hospital, Sion, Mumbai, Maharashtra, India
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Publikationsverlauf

18. Dezember 2015

18. Januar 2016

Publikationsdatum:
06. April 2016 (online)

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Abstract

Civilian penetrating head injuries are not common, and the occurrence of such injuries in the pediatric population is rare. Pediatric penetrating head injuries are low-velocity injuries, resulting from household objects. Presentation entirely depends on the area of the brain involved. There are several management dilemmas related to the nature, size, shape, and location of the object, but always warrants removal of the foreign body into the operation theater. The outcome depends on the presenting neurological status of the patient, which reflects underlying parenchymal injury. We are reporting an interesting case of civilian penetrating head injury in a 5-year-old female child with a key in the brain. Computed tomographic scan of the brain revealed a household key penetrated through the right temporal bone. The patient underwent a surgical procedure for the removal of the key. She recovered well without any neurological deficit.