@article{ref1,
title="Penetrating head injury to intact skull with a ball point pen: a rare case",
journal="Neurology India",
year="2022",
author="Chandran, Vipin and Bansal, Sumit and Sahu, Rabi Narayan",
volume="70",
number="1",
pages="466-466",
abstract="Penetrating head injury with a ballpoint pen through a natural bony opening, that is, nasal orifice, orbit, or oral cavity, has been reported previously.[1],[2],[3],[4] However, penetrating head injury with a ballpoint pen through an intact skull has never been reported in the literature.   A 6-year-old male child with a history of fall at home followed by an accidental penetrating injury to the left temporal region with a ballpoint pen was referred to our hospital following unsuccessful exploration at a local hospital. On examination, he was conscious oriented with stable vitals and no neurological deficits. There was a horizontal incised wound (3 cm × 1 cm × 1 cm) present 2 cm above the left ear lobule...   1.	 Davis GA, Holmes AD, Klug GL. Delayed presentation of transorbital intracranial pen. J Clin Neurosci 2000;7:545-8.    2.	 Koyanagi M, Sakai N, Adachi H, Ueno Y, Kunieda T, Imamura H, et al. Penetrating brain injury caused by retained plastic tip of ballpoint pen. Pediatr Neurosurg 2011;47:462-3.    3.	 Rahimizadeh A, Williamson WL, Hadadian K. Orbitocranial injury by a ball-point pen in a child: A case report. J Spine Neurosurg 2018;7:2.    4.	 Rao LP, Peter S, Sreekumar KP, Iyer S. A 'pen' in the neck: An unusual foreign body and an unusual path of entry. Indian J Dent Res 2014;25:111-4.<p /> <p>Language: en</p>",
language="en",
issn="0028-3886",
doi="10.4103/0028-3886.338638",
url="http://dx.doi.org/10.4103/0028-3886.338638"
}