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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e239-e241
DOI: 10.1055/s-0033-1348349
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgical Management of Basilar Artery Laceration Caused by Transorbital Penetrating Injury: Case Report

Christopher Brenke
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Johann Fontana
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Kirsten Schmieder
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Martin Barth
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
› Institutsangaben
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Publikationsverlauf

24. Oktober 2012

04. März 2013

Publikationsdatum:
16. August 2013 (online)

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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.

Keywords

basilar artery - transorbital injury - surgical management
 

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