Preoperative evaluation and treatment methods of non-firearm penetrating brain injury in children
10.3760/cma.j.cn115354-20210622-00397
- VernacularTitle:儿童非火器颅脑穿刺伤的术前评估及治疗方法分析
- Author:
Xuanxuan WU
1
;
Yunying YANG
;
Yudong ZHOU
;
Lusheng LI
;
Xuan ZHAI
;
Ping LIANG
Author Information
1. 重庆医科大学附属儿童医院神经外科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿科学重庆市重点实验室 400014
- Keywords:
Penetrating brain injury;
Non-firearm;
Children;
Foreign body
- From:
Chinese Journal of Neuromedicine
2021;20(10):1022-1026
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the preoperative evaluation and treatment methods of non-firearm penetrating brain injury (PBI) in children.Methods:A retrospective analysis was performed. The clinical data of 18 children with non-firearm PBI admitted to our hospital from January 2012 to December 2020 were collected.Results:CT angiography was performed in 10 patients and MRI in 8 patients before treatment. CT angiography indicated that the intracranial large vessels were not injured by the foreign bodies. The foreign bodies of 7 patients were removed by craniotomy and the foreign bodies of 3 patients were removed directly under general anesthesia; the foreign bodies of 8 patients were removed directly outside the hospital without anesthesia. Cerebrospinal fluid leakage was noted in 4 patients and intracranial infection in 7 patients after surgery; no foreign body residue or intracranial hemorrhage after surgery was noted. After 3-69 months of follow-up, 3 patients had visual decline, one had limited eye movement, and one had olfactory decline.Conclusion:CT angiography is a safe and effective evaluation method for children with non-firearm PBI, and direct extraction of foreign body under general anesthesia is a feasible surgical method when CT angiography shows that the blood vessels are not hurted by the foreign bodies.
