Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
Post-traumatic internal carotid aneurysms caused by needlefish: lessons from one success story.
СтатьяКлинический случайПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Landeta-Amezcua Carlos, Barraza-Soto Kevin Ramses, Guzmán-Maldonado Alejandra, Rivera-Díez Dirce, Bernal-Dolores Víctor, Reyes-Ruiz José Manuel
Аннотация
INTRODUCTION: Penetrating injuries caused by marine animals are rare, particularly those involving the needlefish (Belonidae), which can cause significant orbital and intracranial trauma due to its elongated, serrated jaws. This report details a unique case of a successful resolution of this type of injury in Mexico.
CASE PRESENTATION: A 10-year-old girl sustained a penetrating injury to her right eye while fishing in the Usumacinta River when a needlefish's jaws became embedded in her eye socket. Imaging revealed a foreign body penetrating the cavernous sinus and internal carotid artery (ICA) segment C4. Following a pterional craniotomy and successful removal of two osteocartilaginous fragments, postoperative angiography identified two ICA pseudoaneurysms. The patient was treated endovascularly and discharged without additional neurological deficits.
CONCLUSION: Clinicians must consider intracranial penetration and vascular complications, such as pseudoaneurysms, in patients presenting with periorbital edema or oculomotor palsy following aquatic activities.
CASE PRESENTATION: A 10-year-old girl sustained a penetrating injury to her right eye while fishing in the Usumacinta River when a needlefish's jaws became embedded in her eye socket. Imaging revealed a foreign body penetrating the cavernous sinus and internal carotid artery (ICA) segment C4. Following a pterional craniotomy and successful removal of two osteocartilaginous fragments, postoperative angiography identified two ICA pseudoaneurysms. The patient was treated endovascularly and discharged without additional neurological deficits.
CONCLUSION: Clinicians must consider intracranial penetration and vascular complications, such as pseudoaneurysms, in patients presenting with periorbital edema or oculomotor palsy following aquatic activities.