title: Diplegia due to transcranial knife-blade injury in a 20-month-old child.
abstract: Transcranial stab wounds are uncommon among both adults and adolescents and rarely occur in children, particularly when caused by another child. A 20-month-old girl was injured by a 3-year-old cousin, who introduced a knife blade into the brain through the left parietal region. The trajectory of the wound penetrated at least 5 cm, crossed the falx cerebri, and involved both motor cortical areas. The clinical sequela was a severe symmetric spastic diplegia.
authors.affiliation: Pediatric Neurology Service, University Hospital La Paz, Madrid, Spain. pascas@inves.es
authors.forename: Ignacio
authors.initials: I
authors.lastname: Pascual-Castroviejo
authors.forename: Samuel Ignacio
authors.initials: SI
authors.lastname: Pascual-Pascual
authors.forename: Juan
authors.initials: J
authors.lastname: Viaño
mesh_terms: D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use; D001905:Botulinum Toxins / Q000627:therapeutic use; D004484:Ecuador; D005260:Female; D020197:Head Injuries, Penetrating / Q000209:etiology*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008349:Manipulation, Orthopedic; D009128:Muscle Spasticity / Q000209:etiology* / Q000628:therapy; D010264:Paraplegia / Q000209:etiology; D026741:Physical Therapy Modalities
chemical_list: D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins