Bir Çocukta Penetran Kafa Travmasına Bağlı Tansiyon Pnömosefali ve Beyin Apsesi

Öz

Penetran beyin yaralanmaları, ciddi komplikasyonlu kafa travmalarının nadir sebepleridir. Bu olgu sunumunda, başvurudan dört gün önce penetran kafa travması geçirmiş 16 yaşında bir çocuk vakayı tanımlamaktayız. Yabancı cisim ebeveynleri tarafından ilk günde çıkarıldı, ancak çocuk giderek artan şekilde hastalandı ve baş ağrısı ve kusma yaşadı. Ateş ve ense sertliği varlığından dolayı menenjit düşündük. Bilgisayarlı beyin tomografisi taraması tansiyon pnömosefali ve beyin apsesi olduğunu gösterdi. Intravenöz antibiyotikler verildi ve ameliyat edildi. Penetran kafa travmalı bir hastada çeşitli komplikasyonları düşünmeliyiz ve gelecekteki sekelleri önlemek için varlıklarını değerlendirmeliyiz.

Anahtar Kelimeler

• Tansiyon pnömosefali, beyin apsesi, penetran kafa travması

Tension Pneumocephalus and Brain Abscess Due to Penetrating Head Trauma in a Child

Öz

Penetrating bran injuries are uncommon causes of head trauma with serious complications. In this case study, we describe a sixyear-old child with penetrating head trauma that occurred four days before presentation. The foreign body was removed by the parents on the first day, but the child had become progressively ill and experienced headache and vomiting. With the presence of fever and a stiff neck, we considered meningitis. The CT scan of the brain revealed tension pneumocephalus and a brain abscess. IV antibiotics were given, and surgery was performed. In a patient with penetrating head trauma, we should consider various complications and assess the presence of them to avoid future sequelae

Anahtar Kelimeler

• Tension pneumocephalus, brain abscess, penetrating head trauma

Kaynakça

1. Peek-Asa C, McArthur D, Hovda D, Kraus J. Early predictors of mortality in penetrating compared with closed brain injury. Brain Inj 2001; 15: 801-10. [CrossRef]
2. Kawamura S, Hadeishi H, Sasaguchi N, Suzuki A, Yasui N. Penetrating head injury caused by chopstick--case report. Neurol Med Chir (Tokyo) 1997; 37: 332-5. [CrossRef]
3. Karim T, Topno M. An unusual case of penetrating head injury in a child. Emerg Trauma Shock 2010; 3: 197-198. [CrossRef]
4. Bhootra BL, Bhana BD. An unusual missile-type head injury caused by a stone: case report and medicolegal perspectives. Am J Forensic Med Pathol 2004; 25: 355-7. [CrossRef]
5. Ishikawa E, Meguro K, Yanaka K, Murakami T, Narushima K, Aoki T, et al. Intracerebellar penetrating injury and abscess due to a wooden foreign body--case report. Neurol Med Chir (Tokyo) 2000; 40: 458-62. [CrossRef]
6. Liu WK, Ma L, Mao BY. A delayed frontorbital abscess caused by a penet- rating nonmissile foreign body (A bamboo stick). Neurol India 2009; 57: 208-10. [CrossRef]
7. Takinami K, Hasegawa T, Miyamori T, Matumoto T, Arakawa Y, Sugino M. Intracerebral pneumocephalus following a head injury: case report. No Shinkei Geka 2003; 31: 425-9.
8. Tokitsu M, Nakamura M, Yokoyama H, Watanabe H, Hara M, Takeuchi K. Skullbase-penetrating injuries caused by umbrella tips: case reports. No Shinkei Geka 1990; 18: 189-92.

9. Hagan RE. Early complications following penetrating wounds of the brain. J Neurosurg 1971; 34: 132-41. [CrossRef]
10. Detorakis ET, Drositis I, Drakonaki EE, Panayotaki E, Deville JG. Pneumo- cephalus and presumed meningitis following inconspicuous penetrating periocular trauma. Acta Ophthalmol Scand 2004; 82: 603-5 [CrossRef]
11. Kuncz A, Roos A, Lujber L, Haas D, Al Refai M. Traumatic prepontine ten- sion pneumocephalus--case report. Ideggyogy Sz 2004; 57: 313-5.
12. Domingo Z, Peter JC, de Villiers JC. Low-velocity penetrating cranioce- rebral injury in childhood. Pediatr Neurosurg 1994; 21: 45-9 [CrossRef]
13. Carpenter J, Stapleton S, Holliman R. Retrospective analysis of 49 cases of brain abscess and review of the literature. Eur J Clin Microbiol Infect Dis 2007; 26: 1-11. [CrossRef]
14. Schirmer CM, Heilman CB, Bhardwaj A. Pneumocephalus: case illustrati- ons and review. Neurocrit Care 2010; 13: 152-8. [CrossRef] 117