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Vol. 17. Issue 6.
Pages 550-553 (January 2006)
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Vol. 17. Issue 6.
Pages 550-553 (January 2006)
Lesión intracraneal transorbitaria por florete. Caso clínico
Cranial wounds of the skull by fencing - foil
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A. Calvo-Rubal*,**, F. Martínez*,***,
, A. Tarigo*
* Servicio de Neurocirugía del Hospital Maciel. Ministerio de Salud Pública
** Servicio de Neurocirugía. Banco de Seguros del Estado
*** Departamento de Anatomía. Facultad de Medicina. Montevideo. Uruguay
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Resumen
Introducción

Las heridas penetrantes intracraneales por arma blanca son poco frecuentes en países occidentales y su diagnóstico y tratamiento pueden presentar dificultades que las hacen diferentes al resto de los traumatismos de cráneo.

Caso clínico

Se presenta el caso de un profesor de esgrima que practicando sin la debida protección, recibió una lesión por florete, transorbitaria derecha con penetración intracraneana. La misma le produjo un hematoma intraparenquimatoso temporoparietal derecho, con efecto de masa. Dicha lesión se hizo evidente en la evolución, ya que de inicio, el paciente no presentó ningún síntoma oftalmológico o neurológico. El hematoma se evacuó sin incidentes con buena evolución clínica del paciente. No hubo lesiones en el globo ocular.

Discusión y conclusiones

La lesión de estructuras intracraneales por objetos penetrantes transorbitarios es poco frecuente. Su diagnóstico exige un alto índice de sospecha, teniendo en cuenta el objeto agresor, mas allá del estado clínico inicial del paciente.

Palabras clave:
Traumatismo craneal penetrante
Traumatismo orbitario
Hematoma intracerebral traumático
Summary

Penetrating stab cranial wounds of the skull by fencing - foil are rare in western countries.

Case report

This 46 year old man suffered a penetrating stab wound of the skull throughout the right orbital region. As a onsecuence he developed on intracranial hematoma requiring surgical evacuation.

Discussion and conclusions

Damage of intracranial cuntents due to transorbital penetrating objects other than missiles is a rare event.

Key words:
Head injury
Penetrating skull injury
Stab wounds
Orbital trauma
Intracrial hematoma

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