Vasospasm following low-velocity penetrating pediatric intracranial trauma

Journal of Medical Case Reports

Demitre Serletis¹  James McEachern²  Zul Kaderali³  Alysa Almojuela⁴  Colin Kazina⁴ 

[1] Department of Neurosurgery, Cleveland Clinic Foundation;Department of Radiology, University of Manitoba;Division of Neurosurgery, Royal Columbian Hospital;Section of Neurosurgery, Department of Surgery, University of Manitoba;

关键词: BB gun;    Pediatric;    Penetrating brain injury;    Cerebral vasospasm;    Case report;   

DOI  :  10.1186/s13256-022-03254-5

来源: DOAJ

【 摘 要 】

Abstract Background BB guns or non-powder guns created in the modern era are able to reach exceedingly fast velocities as a result of advances in compressed-gas technology. While missile penetrating trauma has been well documented in neurosurgical literature, penetrating intracranial injury secondary to non-powder guns, along with their associated complications and treatments, is not well described, and even less so in the pediatric population. Case presentation Here, we describe an unusual case of a 6-year-old Indigenous child who was accidentally shot with a BB gun to the head. He subsequently developed delayed acute right-sided weakness due to symptomatic vasospasm. His symptoms resolved following hypertensive therapy, balloon angioplasty intervention, and intra-arterial milrinone therapy. Conclusions This case highlights the unique complication of delayed symptomatic vasospasm in a child following a non-missile intracranial penetrating injury. Intracranial vasospasm needs to be considered in the presence of delayed neurological deficit given its potential reversibility. This case also emphasizes the importance of gun safety and education when handling and storing these potential weapons around children.

【 授权许可】

Unknown