title: Transorbital penetrating brainstem injury in a child: case report.
abstract: The authors present the unusual case of a 9-year-old girl who sustained injury to her brainstem as a result of the orbital penetration of a metal projectile (nail) into the juxtamedullary region. This case and others reported in the literature associate this type of injury with relatively minor complications. Thorough imaging of the intracranial contents and surgical removal of the projectile is recommended.
authors.affiliation: Department of Neurologic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Jacob
authors.forename: Aaron A
authors.initials: AA
authors.lastname: Cohen-Gadol
authors.forename: Cormac O
authors.initials: CO
authors.lastname: Maher
authors.forename: Fredric B
authors.initials: FB
authors.lastname: Meyer
mesh_terms: D001933:Brain Stem / Q000293:injuries*; D002531:Cerebellum / Q000098:blood supply; D002533:Cerebral Angiography; D003392:Cranial Sinuses / Q000293:injuries; D003399:Craniotomy; D003646:Debridement; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D015600:Glasgow Coma Scale; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008670:Metals; D009460:Neurologic Examination; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D010348:Patient Care Team; D011183:Postoperative Complications / Q000209:etiology; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D008670:Metals