Autor(en): | Teng, Tan Sui Ishak, Noor Liza Subha, Sethu Thakachy Bakar, Saraiza Abu |
Titel: | Traumatic transnasal penetrating injury with cerebral spinal fluid leak |
Sprache (ISO): | en |
Zusammenfassung: | CSF leak in penetrating skull base injury is relatively rare compared to close head injury involving skull base fracture. We report a 5-year-old boy presented with epistaxis and impacted pencil into the left nostril. The child was hemodynamically stable without any neurological deficit. Intraoperatively, there was a nasal septal defect posteriorly with anterior skull base fracture associated with CSF leak. The pencil was removed from the left nostril and the CSF leak was repaired using harvested abdominal fat under the same setting. Computed Tomography (CT) of the brain showed right cribriform plate fracture with small pneumocranium. Postoperatively, a prophylactic antibiotic was given for seven days and he was discharged well. Subsequent clinic visits up to one-year postoperative period showed no recurrence of the CSF leak. History taking, physical examination and CT imaging give valuable diagnostic values in managing the penetrating skull base injury. Early intervention for removal of the foreign body and repair of the CSF leak is advocated to prevent catastrophic complication. |
Schlagwörter: | pencil penetrating trauma skull base fracture CSF leak |
URI: | http://hdl.handle.net/2003/39138 http://dx.doi.org/10.17877/DE290R-21056 |
Erscheinungsdatum: | 2019-04-08 |
Rechte (Link): | http://creativecommons.org/licenses/by/4.0/ |
Enthalten in den Sammlungen: | Case Reports |
Dateien zu dieser Ressource:
Datei | Beschreibung | Größe | Format | |
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Teng_08042019_proof.pdf | DNB | 785.36 kB | Adobe PDF | Öffnen/Anzeigen |
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