Craniocerebral injury resulting from transorbital stick penetration in children.
OBJECTIVE
Two children were admitted to hospital for treatment of craniocerebral injury with transorbital penetration.


METHODS
One child aged 6 years and 6 months had poked a chopstick in his orbit. There was no report of either a palpebral or an ocular wound. He had subsequently developed a meningeal syndrome with a cerebral abscess managed by needle aspiration biopsy and intravenous antibiotics. The other child, aged 4, had fallen onto a metal rod. He presented with a palpebral wound, motor disorders and coma, all due to a frontal intracerebral hematoma. There was an improvement in outcome without complications of an infectious nature or motor sequelae.


CONCLUSIONS
Such head injuries are rare. Clinical, radiological and ophthalmological investigations must be performed, including computed tomography (CT) scan or cerebral magnetic resonance imaging (MRI) with antibiotic treatment for suspected microorganisms.
Di Roio
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Département d'Anesthésie Réanimation, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Lyon, France. claudio.diroio@wanadoo.fr
Jourdan
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C
Mottolese
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C
Convert
J
J
Artru
F
F
D001930:Brain Injuries / Q000175:diagnosis / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D005547:Foreign Bodies; D006801:Humans; D008297:Male; D009915:Orbit; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating