An Unusual Transorbital Penetrating Injury by House-key (lock): A Case Report with a Small Review of Literature

Sarkar, Sajal; Modi, Sandeep; Seth, Arup Kumar; Panja, Soumyajyoti

doi:10.7860/jcdr/2015/14257.6434

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…This property of the orbit confers a unique vulnerability to penetrative cerebral injury when compared to other facial structures. [24][25][26][27][28][29][30][31][32][33][34][35] The case presented here challenges the implied notion that only penetrative injuries by rubber bullets can cause serious harm. Indeed, the patient from this case experienced complete shattering of the NOE complex extending up to the anterior skull base, causing a TBI and CSF leak.…”

Section: Discussionmentioning

confidence: 52%

“…For example, much of the literature regarding TBI due to a variety of causes centers on the relative thinness of the bony structures of the orbit. This property of the orbit confers a unique vulnerability to penetrative cerebral injury when compared to other facial structures 24–35 . The case presented here challenges the implied notion that only penetrative injuries by rubber bullets can cause serious harm.…”

Section: Discussionmentioning

confidence: 59%

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Rubber Bullet Induced Traumatic Brain Injury

Ali¹,

Poggi²,

Doberstein³

et al. 2021

Journal of Craniofacial Surgery

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Rubber bullets have long been known to cause, on rare occasions, traumatic brain injury (TBI). However, neurosurgical literature on this occurrence is limited, and no focused review of this injury pattern has been conducted. The authors present the case of a 28-year-old male struck by a rubber bullet in the left periorbital region, causing TBI in addition to complete left visual loss and complex facial fractures. After developing a cerebrospinal fluid (CSF) leak, the patient was taken to the operating room for combined neurosurgical-craniofacial intervention. Utilizing frameless intraoperative computation tomography navigation assistance, a successful repair was made of both the patient's CSF leak and complex craniofacial injuries. TBI due to a rubber bullet is a rare but severe occurrence. Unfortunately, much of the limited literature on this topic is bereft of demographic, clinical course, injury pattern, and imaging data. Presented here is the first operative case report of TBI due to a rubber bullet. Volume rendered imaging is provided to demonstrate the extent of trauma incurred. Additionally, a methodology for frameless intraoperative computation tomography navigation assistance is shared for consideration, as it served as a helpful adjunct for a combined intracranial-craniofacial surgical repair. The experience of treating the patient's traumatic CSF leak in the context of severe craniofacial and ophthalmologic injuries highlights the need for a multidisciplinary surgical approach that may arise when treating patients with TBI due to a rubber bullet.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 59%

Rubber Bullet Induced Traumatic Brain Injury

Ali¹,

Poggi²,

Doberstein³

et al. 2021

Journal of Craniofacial Surgery

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“…We didn't give anticonvulsant therapy in this patient as a prophylactic altough risk of postoperative seizure is as high as 30–50%, of which 10% appear within first week of trauma because most common cause of seizure are compound depressed fracture and intracranial infection which not seen in this patient. Early surgical intervention might decrease the chance of formation of scar tissue and hence of an epileptic focus [ 21 ]. However a further investigation and follow-up must be taken due to some late complications can occur like traumatic aneurysm, the possibility of seizure in late onset as reported in Chunhua et al study that reported recurrent seizures after 30 years of pencil retained in temporal lobe at the setting of TOPI [ 20 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

An extremely rare case: Transorbital penetrating intracranial injury by wooden foreign body. Case report

WAHYUDI

Zaky

Islam

et al. 2021

Annals of Medicine and Surgery

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Introduction and importance Transorbital Penetrating Intracranial Injury (TOPI) is a rare case, but those caused by Wooden Foreign Body are even challenging that may pose unusual diagnostic and surgical challenges. Case presentation we presented a TOPI following a wood penetrated to the left temporal fossa region via orbital roof due to struck the tree branches while got a motor vehicle accident. The patient was fully conscious with decreased visual acuity in the left eye and left ophthalmoplegia. Non-contrast CT scan showed the linear-shaped foreign body, air mimicking that penetrated medial orbit plane to the left temporal fossa. Clinical discussion The surgery was performed with a temporobasal approach and revealed good results with only mild ophthalmologic complications without long-term fatal complications (1-year followed-up). Conclusion early removal of wooden foreign body that penetrates to the intracranial via transorbital is mandatory and should be involved multidisciplinary approach to get the optimal result and avoid the fatal complication both neurologically or ophthalmologically.

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“…Ещё реже данная патология осложняется проникновением ранящего агента в полость черепа, трансформи-руясь в краниоорбитальное повреждение (0,4 % от всех травм головы) [5,7,8,14,16,25,34,35,42]. В связи с этим анализ подобных клинических ситуаций представляет несомненный научный и практический интерес.…”

Section: Introductionunclassified

Penetrating cranial injury with giant intraorbital foreign body

Kasatkina

Михайловна²,

Nikolaenko

et al. 2016

Ophthalmology Reports

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гематомы и отёка век. При раскрытии глазной щели визуализировались хемоз бульбарной конъ-юнктивы, гипосфагма, спавшееся глазное ябло-ко, а также обширная рана роговицы, в которой, помимо фрагментов внутренних оболочек глаза, находилось гигантское инородное тело (корпус шариковой ручки) (рис. 1, A). Учитывая глубину залегания ранящего агента, амавроз и полную на-ружную офтальмоплегию, было выдвинуто пред-положение о наличии у пострадавшего синдрома вершины орбиты. При оценке неврологического статуса невро-патологом совместно с нейрохирургом очаговой патологии не выявлено.В связи с наличием в распоряжении врачебной бригады компьютерного томографа стандартное рентгенологическое исследование глазницы и па-раорбитальных структур не выполнялось.В ходе мультиспиральной компьютерной томо-графии (МСКТ) были получены отчётливые изо-бражения инородного тела вытянутой формы, состоящего из двух разных по форме и рентге- ВВЕДЕНИЕПроникающие ранения орбиты являются до-статочно редкой разновидностью травмы, встре-чающейся у молодых лиц обоего пола. Ещё реже данная патология осложняется проникновением ранящего агента в полость черепа, трансформи-руясь в краниоорбитальное повреждение (0,4 % от всех травм головы) [5,7,8,14,16,25,34,35,42]. В связи с этим анализ подобных клинических ситуаций представляет несомненный научный и практический интерес.Ниже представлено описание случая кранио-орбитального повреждения из нашей практики.Пациент Ш., 33 года, поступил в приёмное отделение СПбГБУЗ «ГМПБ № 2» 11 декабря 2015 г. с жалобами на слепоту правого глаза, отёк и кровоизлияние в толщу век. Со слов по-страдавшего, в конфликтной ситуации он полу-чил удар по глазу длинным твёрдым предметом с ограниченной следообразующей поверхностью. За медицинской помощью обратился немедленно.Острота зрения при поступлении равнялась нулю. Глазная щель сомкнута из-за умеренной * КЛИНИЧЕСКИЙ СЛУЧАЙ УДК 617.7

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An Unusual Transorbital Penetrating Injury by House-key (lock): A Case Report with a Small Review of Literature

Cited by 7 publications

References 15 publications

Rubber Bullet Induced Traumatic Brain Injury

Rubber Bullet Induced Traumatic Brain Injury

An extremely rare case: Transorbital penetrating intracranial injury by wooden foreign body. Case report

Penetrating cranial injury with giant intraorbital foreign body

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