Abstract
A case of a penetrating intracranial injury through the cranial vault of a 2-year-old girl is reported. The child was playing with a pair of scissors when she stumbled and fell on them accidentally. The scissors penetrated into the left temporal region. On admission, she was alert and had no neurological deficits. Plain X-ray of the skull revealed that the scissors had penetrated into the intracranial space. We decided that it would be very risky to remove them blindly, thus, we removed them by a small craniectomy under general anesthesia. The tip of the blade passed near the middle meningeal artery and the sylvian vein. Fortunately, no bleeding occurred. The repair of the dura mater was performed using her own temporal fascia. The postoperative course was uneventful, and she was discharged with no observable neurological deficits.
