Vasospasm following low-velocity penetrating pediatric intracranial trauma

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dc.contributor.authorAlmojuela, Alysa
dc.contributor.authorKaderali, Zul
dc.contributor.authorMcEachern, James
dc.contributor.authorKazina, Colin
dc.contributor.authorSerletis, Demitre
dc.date.accessioned2022-03-01T05:03:51Z
dc.date.issued2022-02-06
dc.date.updated2022-03-01T05:03:51Z
dc.description.abstractAbstract 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.
dc.identifier.citationJournal of Medical Case Reports. 2022 Feb 06;16(1):48
dc.identifier.urihttps://doi.org/10.1186/s13256-022-03254-5
dc.identifier.urihttp://hdl.handle.net/1993/36331
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleVasospasm following low-velocity penetrating pediatric intracranial trauma
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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