Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review
Background. A penetrating head injury (PHI) refers to a situation where a projectile has breached the cranium but does not exit it. It constitutes about 0.4% of all head injuries. Several nonmissile materials inserting the skull have been reported. But to our knowledge, never before has any case of...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/9921985 |
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| _version_ | 1832559670705782784 |
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| author | Issa Ibrahim Assoumane Nicaise Kpègnon Agada Rabiou Maman Sani Aminath Kélani |
| author_facet | Issa Ibrahim Assoumane Nicaise Kpègnon Agada Rabiou Maman Sani Aminath Kélani |
| author_sort | Issa Ibrahim Assoumane |
| collection | DOAJ |
| description | Background. A penetrating head injury (PHI) refers to a situation where a projectile has breached the cranium but does not exit it. It constitutes about 0.4% of all head injuries. Several nonmissile materials inserting the skull have been reported. But to our knowledge, never before has any case of PHI caused by a hit of rake been reported. We report a first case of PHI caused by a rake in a child; then, we relate our experience with its management and discuss the relevant literature. Cases Description. A 5-year-old boy has been admitted with a rake embedded in his head. That occurred during a violent play with a neighbor. At presentation, the child was alert; there was no neurological deficit. The rake was embedded in the parietal regions on each side of the midline. The head Computed Tomography (CT) scan performed showed a biparietal hyperdensity from either side of the midline with a metal artifact. In the operating room, after a transversal incision joining the 2 tips of the object, we performed successively bone flaps; object extraction; debridement; duraplasty; and closing. The outcome was uneventful. Conclusion. This is the first case of PHI by a rake. The surgical management constitutes the main challenging point. |
| format | Article |
| id | doaj-art-04a834a5bafe41d1a63d6958e994263a |
| institution | Kabale University |
| issn | 2090-6676 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-04a834a5bafe41d1a63d6958e994263a2025-02-03T01:29:24ZengWileyCase Reports in Neurological Medicine2090-66762023-01-01202310.1155/2023/9921985Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature ReviewIssa Ibrahim Assoumane0Nicaise Kpègnon Agada1Rabiou Maman Sani2Aminath Kélani3Niamey National HospitalNiamey National HospitalZinder National HospitalNiamey National HospitalBackground. A penetrating head injury (PHI) refers to a situation where a projectile has breached the cranium but does not exit it. It constitutes about 0.4% of all head injuries. Several nonmissile materials inserting the skull have been reported. But to our knowledge, never before has any case of PHI caused by a hit of rake been reported. We report a first case of PHI caused by a rake in a child; then, we relate our experience with its management and discuss the relevant literature. Cases Description. A 5-year-old boy has been admitted with a rake embedded in his head. That occurred during a violent play with a neighbor. At presentation, the child was alert; there was no neurological deficit. The rake was embedded in the parietal regions on each side of the midline. The head Computed Tomography (CT) scan performed showed a biparietal hyperdensity from either side of the midline with a metal artifact. In the operating room, after a transversal incision joining the 2 tips of the object, we performed successively bone flaps; object extraction; debridement; duraplasty; and closing. The outcome was uneventful. Conclusion. This is the first case of PHI by a rake. The surgical management constitutes the main challenging point.http://dx.doi.org/10.1155/2023/9921985 |
| spellingShingle | Issa Ibrahim Assoumane Nicaise Kpègnon Agada Rabiou Maman Sani Aminath Kélani Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review Case Reports in Neurological Medicine |
| title | Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review |
| title_full | Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review |
| title_fullStr | Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review |
| title_full_unstemmed | Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review |
| title_short | Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review |
| title_sort | penetrating head injury by a hit of rake in a child a case report and literature review |
| url | http://dx.doi.org/10.1155/2023/9921985 |
| work_keys_str_mv | AT issaibrahimassoumane penetratingheadinjurybyahitofrakeinachildacasereportandliteraturereview AT nicaisekpegnonagada penetratingheadinjurybyahitofrakeinachildacasereportandliteraturereview AT rabioumamansani penetratingheadinjurybyahitofrakeinachildacasereportandliteraturereview AT aminathkelani penetratingheadinjurybyahitofrakeinachildacasereportandliteraturereview |