A rare case of a penetrating cranio-facial foreign body stuck in the skull base

Salama, Khadija; Choukry, Karim; Negham, Hicham; Oukessou, Youssef; Abada, R.; Mahtar, Mohamed

doi:10.1016/j.ijscr.2021.105721

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…[4] Moreover, the management also depends on the severity of the condition, which varies according to many factors related to the penetrating foreign body's size, type, site of penetration, and direction inside the brain. [13,14] Moreover, Rinaldi et al describe an unusual case of a 30-year-old man with a craniocerebral missile injury with orbital roof penetration and subsequent bullet migration into the maxillary sinus. [12] e emergency management included a broad craniectomy around the bullet entrance location, as well as the removal of blood and foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

Retrograde cranio-orbital penetrating injury: A case report

Etaiwi¹,

Ismail

Al-Ageely

et al. 2023

Surgical Neurology International

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Background: Transorbital (Orbito-cranial) injuries are uncommon, but they are among the most debilitating types of traumatic brain injury (TBI), mainly caused by high-velocity gunshot wounds. In addition, the management of transorbital TBI is well documented in the literature. In contrast, the cranio-orbital migration of a bullet following TBI is rarely reported. In this article, we report a reverse cranio-orbital penetration of a bullet after a TBI from the occiput with a discussion about its management. Case Description: A 34-year-old male presented with a loss of consciousness to the emergency department. His Glasgow Coma Scale was 10 (E3, V3, M4), with a left-sided weakness grade of 3 on the Medical Research Council of Canada scale. A head computed tomography (CT) scan was performed, which revealed a bullet embedded in the right orbit with an entrance point from the right occipital bone. Moreover, the CT scan showed an intraventricular hemorrhage in the lateral ventricle. The surgery was performed where the hematoma was evacuated, the scalp was debrided, and the bullet was removed successfully. However, the patient died on the 7th postoperatively. Conclusion: Cranio-orbital penetrating brain injury is a severe yet rare type of penetrating brain injury. The direction of cranio-orbital injury is usually from the orbital region to the cerebrum. In our case, the retrograde fashion of the bullet migration renders it unique and calls for further studies to highlight the differences in injury and management of such cases.

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Section: Discussionmentioning

confidence: 99%

Retrograde cranio-orbital penetrating injury: A case report

Etaiwi¹,

Ismail

Al-Ageely

et al. 2023

Surgical Neurology International

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“…Os traumas faciais derivados de ferimento por arma branca (FAB) podem desencadear graves complicações, principalmente se estruturas nobres forem lesadas, e podem incluir: laceração dos tecidos moles, laceração dos tecidos moles com fratura óssea ou laceração dos tecidos moles com fratura de tecido ósseo e retenção de corpo estranho na região (SALAMA et al, 2021).…”

Section: Introductionunclassified

Ferimento por arma branca impactada na face: relato de caso

Gomes¹,

Costa²,

Bezerra³

et al. 2023

Braz. J. Hea. Rev.

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A região maxilofacial é comumente acometida nos traumas, porém os ferimentos por arma branca em face são raros, acometendo, principalmente, jovens do gênero masculino e vítimas de agressão física. Cuidados em relação à manutenção das vias aéreas, aspectos neurológicos, oftalmológicos e vasculares integram o tratamento interdisciplinar. O objetivo deste trabalho consiste em relatar o caso de um paciente do gênero masculino acometido por ferimento de arma branca, com uma faca impactada em região maxilofacial.

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