<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000201704</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.2.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trauma encefalocraneano penetrante no balístico en población carcelaria: un diagnóstico a considerar]]></article-title>
<article-title xml:lang="en"><![CDATA[Non-ballistic penetrating cranioencephalic trauma in the prison population: a diagnosis to consider]]></article-title>
<article-title xml:lang="pt"><![CDATA[Trauma cranioencefálico penetrante não balístico na população carcerária: um diagnóstico a considerar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brignoni]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solari]]></surname>
<given-names><![CDATA[María Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuellis]]></surname>
<given-names><![CDATA[Vivian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verga]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbato]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Administración de los Servicios de Salud del Estado (ASSE) Unidad de Cuidados Intensivos Hospital Maciel]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Cátedra de Medicina Intensiva Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000201704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000201704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000201704&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El trauma encefalocraneano penetrante no balístico es una entidad poco frecuente en la población general, pero con una incidencia creciente en el ámbito penitenciario debido a la violencia intracarcelaria y el uso de armas blancas de fabricación casera. Presentamos dos casos de personas privadas de libertad con trauma encefalocraneano transorbitario penetrante. En ambos las lesiones externas fueron mínimas y pasaron inicialmente desapercibidas, lo que retrasó el diagnóstico. Este tipo de trauma requiere un alto índice de sospecha clínica, evaluación imagenológica oportuna y un abordaje multidisciplinario para reducir complicaciones y mejorar el pronóstico del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Non-ballistic penetrating cranioencephalic trauma is a rare condition in the general population, but its incidence is increasing in prison settings due to intra-prison violence and the use of improvised bladed weapons. We present two cases of incarcerated individuals with transorbital penetrating cranioencephalic trauma, in whom minimal external injuries initially went unnoticed, delaying diagnosis. This type of trauma requires a high index of clinical suspicion, timely imaging evaluation, and a multidisciplinary approach to reduce complications and improve patient outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O trauma cranioencefálico penetrante não balístico é uma condição rara na população geral, mas sua incidência está aumentando no sistema prisional devido à violência intra-carcerária e ao uso de armas brancas improvisadas. Apresentamos dois casos de pessoas privadas de liberdade com trauma cranioencefálico penetrante transorbitário, nos quais as lesões externas foram mínimas e inicialmente passaram despercebidas, atrasando o diagnóstico. Esse tipo de trauma exige um alto índice de suspeição clínica, avaliação por imagem oportuna e uma abordagem multidisciplinar para reduzir complicações e melhorar o prognóstico do paciente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma encefalocraneano penetrante]]></kwd>
<kwd lng="es"><![CDATA[Lesión transorbitaria]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones cerebrales]]></kwd>
<kwd lng="es"><![CDATA[Angiografía cerebral]]></kwd>
<kwd lng="es"><![CDATA[Cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[Salud penitenciaria]]></kwd>
<kwd lng="en"><![CDATA[Penetrating cranioencephalic trauma]]></kwd>
<kwd lng="en"><![CDATA[Transorbital injury]]></kwd>
<kwd lng="en"><![CDATA[Cerebral complications]]></kwd>
<kwd lng="en"><![CDATA[Cerebral angiography]]></kwd>
<kwd lng="en"><![CDATA[Critical care]]></kwd>
<kwd lng="en"><![CDATA[Prison healthcare]]></kwd>
<kwd lng="pt"><![CDATA[Trauma cranioencefálico penetrante]]></kwd>
<kwd lng="pt"><![CDATA[Lesão transorbitária]]></kwd>
<kwd lng="pt"><![CDATA[Complicações cerebrais]]></kwd>
<kwd lng="pt"><![CDATA[Angiografia cerebral]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados críticos]]></kwd>
<kwd lng="pt"><![CDATA[Saúde penitenciária]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<collab>GBD 2016 Traumatic Brain Injury and Spinal Cord Injury Collaborators</collab>
<article-title xml:lang=""><![CDATA[Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016]]></article-title>
<source><![CDATA[Lancet Neurol]]></source>
<year>2019</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>56-87</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stein]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Broderick]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of head trauma]]></article-title>
<source><![CDATA[Surg Clin North Am]]></source>
<year>2024</year>
<volume>104</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>325-41</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Aghion]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Doberstein]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Cosgrove]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Asaad]]></surname>
<given-names><![CDATA[WF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Penetrating brain injury after suicide attempt with speargun: case study and review of literature]]></article-title>
<source><![CDATA[Front Neurol]]></source>
<year>2014</year>
<volume>5</volume>
<page-range>113</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fahmy]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Pyrooz]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Decker]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Head injury in prison: Gang membership and the role of prison violence]]></article-title>
<source><![CDATA[J Crim Justice]]></source>
<year>2020</year>
<volume>67</volume>
<numero>101658</numero>
<issue>101658</issue>
<page-range>101658</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schreckinger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Orringer]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
<name>
<surname><![CDATA[La Marca]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sagher]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transorbital penetrating injury: Case series, review of the literature, and proposed management algorithm: Report of 4 cases]]></article-title>
<source><![CDATA[Journal of neurosurgery]]></source>
<year>2011</year>
<volume>114</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>53-61</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fuellis]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Verga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pascale]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Grille]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Barbato]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de consumo de cocaína y cannabis en pacientes traumatizados ingresados a medicina intensiva]]></article-title>
<source><![CDATA[Rev Med Urug]]></source>
<year>2024</year>
<volume>40</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>e201</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farrer]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hedges]]></surname>
<given-names><![CDATA[DW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of traumatic brain injury in incarcerated groups compared to the general population: A meta-analysis]]></article-title>
<source><![CDATA[Progress in Neuro-Psychopharmacology and Biological Psychiatry]]></source>
<year>2011</year>
<volume>35</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>390-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shiroma]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ferguson]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Pickelsimer]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of traumatic brain injury in an offender population: a meta-analysis]]></article-title>
<source><![CDATA[J Correct Health Care]]></source>
<year>2010</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>147-59</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="book">
<collab>Comisionado Parlamentario Penitenciario</collab>
<source><![CDATA[Informe anual: situación del sistema carcelario y medidas alternativas 2023 [Internet]]]></source>
<year>2023</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[Parlamento del Uruguay]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Patzelt]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intracranial stab injuries: case report and case study]]></article-title>
<source><![CDATA[Forensic Sci Int]]></source>
<year>2002</year>
<volume>129</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>122-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turbin]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Maxwell]]></surname>
<given-names><![CDATA[DN]]></given-names>
</name>
<name>
<surname><![CDATA[Langer]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Frohman]]></surname>
<given-names><![CDATA[LP]]></given-names>
</name>
<name>
<surname><![CDATA[Hubbi]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Wolansky]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patterns of transorbital intracranial injury: a review and comparison of occult and non-occult cases]]></article-title>
<source><![CDATA[Surv Ophthalmol]]></source>
<year>2006</year>
<volume>51</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>449-60</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kitakami]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kirikae]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kuroda]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ogawa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transorbital-transpetrosal penetrating cerebellar injury--case report]]></article-title>
<source><![CDATA[Neurol Med Chir]]></source>
<year>1999</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>150-2</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turbin]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Levin]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Maxwell]]></surname>
<given-names><![CDATA[DN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recognition of transorbital intracranial injury]]></article-title>
<source><![CDATA[Clin Ophthalmol]]></source>
<year>2007</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>85-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[W-H]]></given-names>
</name>
<name>
<surname><![CDATA[Chiang]]></surname>
<given-names><![CDATA[Y-H]]></given-names>
</name>
<name>
<surname><![CDATA[Hsieh]]></surname>
<given-names><![CDATA[C-T]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[J-M]]></given-names>
</name>
<name>
<surname><![CDATA[Hsia]]></surname>
<given-names><![CDATA[C-C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transorbital penetrating brain injury by branchlet: a rare case]]></article-title>
<source><![CDATA[J Emerg Med]]></source>
<year>2011</year>
<volume>41</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>482-5</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vakil]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of penetrating brain trauma: epidemiology, pathophysiology, imaging assessment, complications, and treatment]]></article-title>
<source><![CDATA[Emerg Radiol]]></source>
<year>2017</year>
<volume>24</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>301-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
