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DOI: 10.1055/s-0035-1555663
An Unusual Case of Transorbital Penetrating Brain Injury due to Fall on Branch of a Tree
Subject Editor:
Abstract
Penetrating injury of the skull and brain are relatively uncommon wounds, representing about 0.4% of all head injuries. The orbit is an easy path for low velocity foreign bodies into the cranium. Severity of the injury may be masked by superficial wounds and lack of a primary neurological deficit. Here, we present an unusual and a dramatic case wherein a patient was brought to the hospital with a branch of a tree penetrating into the left orbit. We also highlight the usage of 3D reconstruction computed tomography for nonradiopaque objects such as, wooden stick, thus, obviating the need for routine magnetic resonance imaging in these cases. The patient was successfully operated on at the institute and the patient had postoperatively preserved vision and eye movements.
Publication History
Received: 03 July 2014
Accepted: 08 December 2014
Publication Date:
30 June 2015 (online)
© 2015. Thieme. All rights reserved.
Neurotrauma Society of India
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References
- 1 Esposito DP, Walker JP. Contemporary management of penetrating brain injury. Neurosurg Q 2009; 19: 249-254
- 2 Syed Faraz Kazim, Muhammad Shahzad Shamim, Muhammad Zubair Tahir, Syed Ather Enam, Shahan Waheed. Management of penetrating brain injury. J Emerg Trauma Shock 2011; 4 (03) 395-402
- 3 Tanweer Karim, Margaret Topno. An unusual case of penetrating head injury in a child. J Emerg Trauma Shock 2010; 3 (02) 197-198
- 4 Di Roio C, Jourdan C, Mottolese C, Convert J, Artru F. Craniocerebral injury resulting from transorbital stick penetration in children. Child Nerv Syst 2000; 16 (08) 503-506
- 5 Wellingson Silva Paiva, Monaco Bernardo, Prudente Marcelo. et al. Surgical treatment of a transorbital penetrating brain injury. Clin Ophthalmol 2010; 4: 1103-1105
- 6 Pascual JM, Navas M, Carrasco R. Penetrating ballistic- like frontal brain injury caused by a metallic rod. Acta Nurochirurgica 2009; 151: 689-691
- 7 Domingo Z, Peter JC, de Villiers JC. Low-velocity penetrating craniocerebral injury in childhood. Pedia Neurosurg 1994; 21: 45-49
- 8 Smely C, Orszagh M. Intracranial transorbital injury by a wooden foreign body: re-evaluation of CT and MRI findings. Br J Neurosurg 1999; 13 (02) 206-211
- 9 Helling TS, McNabney WK, Whittaker CK, Schultz CC, Watkins M. The role of early surgical intervention in civilian gunshot wounds to the head. J Trauma 1992; 32: 398-400
- 10 Salazar AM, Jabbari B, Vance SC, Grafman J, Amin D, Dillon JD. Epilepsy after penetrating head injury, I. Clinical correlates: a report of the Vietnam Head Injury Study. Neurology 1985; 35: 1406-1414