Original ArticlePenetrating Head Injuries in ChildrenFaraji, Mohamad*; Ashrafzadeh, Farah†Author Information From the *Department of Neurosurgery, Mashhad University of Medical Science, Mashhad, Iran, and †Department of Neurology, Mashhad University of Medical Science, Mashhad, Iran. Reprints: M. Faraji, MD, Department of Neurosurgery, Mashhad University of Medical Science, No 48 Mollasadra 4 Ave., Ahmadabad BLVD Mashhad, Iran 9176653347 (e-mail: Farajirad@yahoo.com). Neurosurgery Quarterly: September 2005 - Volume 15 - Issue 3 - p 160-163 doi: 10.1097/01.wnq.0000176390.07352.4d Buy Metrics Abstract Head trauma is exceedingly common in children but rarely presents as a penetrating injury to the skull. Early recognition and correct management of the possible complications of penetrating head injuries (PHIs) is important and may prevent a poor outcome. The authors' experience with 14 cases of PHIs in children referred to the Department of Neurosurgery during the last 20 years is presented. The characteristic findings on physical examination and imaging studies performed in these cases are described. All cases occurred in children in the first decade of life. There were 10 boys and 4 girls. A damaged globe that had to be exenterated was the earliest complication (1 case), followed by cerebrospinal fluid leakage (3 cases) and diabetes insipidus (1 case). Objects were removed in 11 cases. In addition to plain radiographs, computed tomography scanning and angiography were used as diagnostic procedures. The present series of patients is one of the largest collections of PHIs in children younger than 10 years of age reported in the literature. The need for prompt extrication of these objects and the possible complications of such injuries have been reviewed. © 2005 Lippincott Williams & Wilkins, Inc.