Transoral intracranial injury via middle skull base by a blunt chopstick in a child.

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Transoral intracranial injury via middle skull base by a blunt chopstick in a child.

World Neurosurg. 2017 Apr 20;:

Authors: Samuthrat T, Ye K, Tong Y

Abstract
BACKGROUND: Transoral penetrating injury from a blunt-tipped chopstick is unusual and should be promptly dealt with since it is associated with high morbidity and mortality.
CASE DESCRIPTION: We report a peculiar case of a 2-year-old girl who suffered from a transoral penetrating brain injury after falling onto a bamboo chopstick, which penetrated through the hard palate and eventually led to middle skull base fracture as well as temporal lobe laceration and contusion. The chopstick was successfully extracted via transoral approach followed by administration of empirical antibiotics and anticonvulsants. Routine postoperative course was uneventful and a two-year follow-up evaluation revealed a favorable outcome.
CONCLUSIONS: Preoperative and postoperative imaging along with extensive monitoring of the patient's condition are mandatory for the evaluation of possible development of complications. Optimal result could be obtained by a tailored management and treatment approach for each specific patient.

PMID: 28435118 [PubMed - as supplied by publisher]

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