Penetrating intracranial trauma of two minors treated with endovascular technique with the use of temporary balloon occlusion for proximal arterial control

Brian Nicholas Kacheris, George Jallo, Jeffrey Wyatt Crooms, T. Adam Oliver, Matthew F. Lawson, Narlin Beaty

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article numbere227915
JournalBMJ case reports
Volume12
Issue number4
DOIs
StatePublished - Apr 1 2019

Keywords

  • neurosurgery
  • paediatrics
  • trauma cns/pns

ASJC Scopus subject areas

  • Medicine(all)

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