title: Surgical management of basilar artery laceration caused by transorbital penetrating injury: case report.
abstract: Transorbital penetrating injuries are rare and present with a heterogeneity of intracranial injury patterns that require individualized therapeutic procedures. In this report, we describe the case of a distal basilar artery laceration in a 16-month-old boy caused by accidental transorbital penetration with a pencil. Surgical removal of the pencil was performed, but hemostasis could only be achieved by clipping the impaired vessel. Adequate diagnostics and an individualized surgical strategy are necessary to deal with these life-threatening injuries.
authors: Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany.
authors: Christopher
authors: C
authors: Brenke
authors: Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany.
authors: Johann
authors: J
authors: Fontana
authors: Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany.
authors: Kirsten
authors: K
authors: Schmieder
authors: Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany.
authors: Martin
authors: M
authors: Barth
mesh_terms: D001488:Basilar Artery / Q000293:injuries* / Q000601:surgery*; D002533:Cerebral Angiography; D020197:Head Injuries, Penetrating / Q000601:surgery*; D006801:Humans; D007223:Infant; D022125:Lacerations / Q000601:surgery; D008297:Male; D019635:Neurosurgical Procedures; D009915:Orbit / Q000293:injuries*; D018458:Persistent Vegetative State; D014057:Tomography, X-Ray Computed