Transorbital stab penetrating brain injury. Report of a case.
BACKGROUND
Penetrating injury of the skull and brain is relatively uncommon, representing about 0.4% of head injuries. In this paper the Authors describe a case of patient victim of transorbital stab with brain injury with good recovery and review the literature about cranial stab wound.


METHODS
A 23-year-old man was involved in an altercation which resulted in the patient sustaining wounds to the head, with penetrating in left transorbital, affecting the eye. At arrival to the first trauma center the patient was conscent and complete responsive with 15 points in Glasgow Coma Scale, and motor deficit grade III. CT scan demonstrated left periventricular brain hematoma and supraorbital fracture. A four-vessel cerebral angiogram demonstrated no abnormality. In this evolution patient presented good neurologic outcome.


CONCLUSIONS
In patients conscents with no surgical lesion like our patient, the hospital discharge must occur after the angiogram have excluded intracranial vascular lesion.
Paiva
Wellingson Silva
WS
Division of Neurosurgery, Hospital das Clinicas University of Sao Paulo Medical School, Brazil. wellingsonpaiva@yahoo.com.br
Saad
Felippe
F
Carvalhal
Eduardo Santamaria
ES
De Amorim
Robson Luis Oliveira
RL
Figuereido
Eberval Gadelha
EG
Teeixera
Manoel Jacobsen
MJ
D001930:Brain Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D020197:Head Injuries, Penetrating / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D009915:Orbit / Q000293:injuries*; D014951:Wounds, Stab / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult