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CASE REPORT
Penetrating intracranial trauma of two minors treated with endovascular technique with the use of temporary balloon occlusion for proximal arterial control
  1. Brian Nicholas Kacheris1,2,
  2. George Jallo3,4,
  3. Jeffrey Wyatt Crooms5,
  4. T Adam Oliver2,
  5. Matthew F Lawson2 and
  6. Narlin Beaty2,6
  1. 1 Florida State University College of Medicine, Tallahassee, Florida, USA
  2. 2 Department of Neurosurgery, Tallahassee Neurological Clinic, Tallahassee, Florida, USA
  3. 3 Institute of Brain Protection Sciences, Johns Hopkins All Children’s Hospital, St Petersburg, Florida, USA
  4. 4 Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  5. 5 Surgical Associates of Tallahassee, Tallahassee, Florida, USA
  6. 6 Department of Clinical Sciences, Florida State University College of Medicine, Tallahassee, Florida, USA
  1. Correspondence to Dr Narlin Beaty, nbeaty{at}tnc-neuro.com

Abstract

We present two children treated with endovascular techniques to gain proximal arterial control of the internal carotid and vertebral artery prior to removal of penetrating objects from the skull base. Both siblings (8-month-old and 22-month-old boys) were injured by different sharp objects (knife and scissor) by a guardian. They were transported to the emergency room where vascular control, including coil embolisation and internal carotid balloon occlusion, was performed in the neuroendovascular suite for safe removal of penetrating objects. Both minors recovered and were discharged home without any focal neurological deficits. In two children with scissor and knife stab with intracranial penetration, endovascular technique allowed safe removal of objects and ensured proximal arterial control was maintained to control for possible extravasation of blood on removal from the skull base.

  • neurosurgery
  • paediatrics
  • trauma cns/pns
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Footnotes

  • Contributors BNK, GJ, JWC, NB, TAO and MFL all contributed to the planning, conduct, reporting, conception and design, the writing of the manuscript, the editing of the manuscript and the approval of the final submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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