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Craniocerebral injury resulting from transorbital stick penetration in children

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Objects: Two children were admitted to hospital for treatment of craniocerebral injury with transorbital penetration. Methods: One child aged 6 years and 6 months had poked a chopstick in his orbit. There was no report of either a palpebral or an ocular wound. He had subsequently developed a meningeal syndrome with a cerebral abscess managed by needle aspiration biopsy and intravenous antibiotics. The other child, aged 4, had fallen onto a metal rod. He presented with a palpebral wound, motor disorders and coma, all due to a frontal intracerebral hematoma. There was an improvement in outcome without complications of an infectious nature or motor sequelae. Conclusions: Such head injuries are rare. Clinical, radiological and ophthalmological investigations must be performed, including computed tomography (CT) scan or cerebral magnetic resonance imaging (MRI) with antibiotic treatment for suspected microorganisms.

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Received: 7 September 1999

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Di Roio, C., Jourdan, C., Mottolese, C. et al. Craniocerebral injury resulting from transorbital stick penetration in children. Child's Nerv Syst 16, 503–506 (2000).

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