Intracranial foreign body in a globe-perforating injury

Türkçüoğlu, Peykan; Aydoğan, Semih

doi:10.1016/s0008-4182(06)80017-7

Cited by 13 publications

(11 citation statements)

References 4 publications

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“…(1) The evaluation of these lesions is done through imaging studies, depending on the center of attention, radiographs and / or CT scan are used as the main studies, the latter being the one that allows a better evaluation of the adjacent structures affected. (1,2,11,12) In turn the effectiveness of these will depend on the material of the object, since elements such as wood because of its low density are difficult to identify (1) and usually require the use of other aids such as magnetic resonance imaging (MRI). If you suspect vascular injury, an angiogram is recommended.…”

Section: Discussionmentioning

confidence: 99%

Intracranial foreign body in a child

Moscote-Salazar¹,

Agrawal²,

Cabeza-Morales³

et al. 2017

Romanian Neurosurgery

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Section: Discussionmentioning

confidence: 99%

Intracranial foreign body in a child

Moscote-Salazar¹,

Agrawal²,

Cabeza-Morales³

et al. 2017

Romanian Neurosurgery

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“…In addition, the orbital roof is a very thin, bony plate, offering little resistance. [6] Second, reverse penetration of the nail is very important in terms of the surgical removal. If the object is removed suddenly during surgery, it may drag the neurovascular structures together with the head of the nail and may cause fatal injuries.…”

Section: Discussionmentioning

confidence: 99%

“…[4,5] The most common delayed complications are cerebrospinal fluid (CSF) leakage, infectious complications such as meningitis, orbital cellulitis and cerebral abscess, and vascular injuries such as traumatic aneurysm and progressive intravascular thrombosis. [2][3][4]6] However, their true incidence is not clear. [4] Due to the risk of significant neurological and vascular complications, it is important to clarify where the foreign body is located, and it is vital to determine the most appropriate surgical approach to remove the object and overcome potential complications.…”

mentioning

confidence: 99%

Unusual penetration of a construction nail through the orbit to the cranium: a case report

Erkutlu

Alptekin²,

Dokur³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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İnşaat çivileriyle oluşan delici baş ve boyun yaralanmaları, nadiren gözlenen, ölümcül ve gelişmekte olan ülkelerin önemli bir problemidir. Hastanın nörovasküler durumu ve sistemik fiziksel incelemesi ilk bilinmesi gereken durumdur, çivinin çıkarılmasında cerrahi ve/veya medikal olarak hangi yaklaşımın uygulanacağı kritik önem taşır. On yaşın-da, yüksekten düştükten 1 saat sonra sol alnında şişlik ve yabancı cisim batması şikayetiyle başvuran bir kız çocu-ğu sunuldu. Sol göz ışık refleksindeki zayıflık ve huzursuzluğu dışında nörolojik ve sistemik muayenesi normal idi. Radyolojik araştırmalar çivi başının sol supraorbital böl-geden girdiğini ve orbital tavan boyunca ilerleyerek frontal kemiğin altından ilerleyerek saplandığını gösterdi. Çivi sol piterional kraniyotomi ve lateral orbitotomi tekniği kullanılarak başarıyla çıkarıldı ve cerrahi sonrası herhangi bir komplikasyon gelişmedi. Biz burada belkide "çivinin ters penetrasyonu" olarak tanımlanabilecek nadir bir kraniyoserebral delici yaralanmayı ve orbital tavan boyunca ilerleyerek anterior fossaya baş kısmıyla saplanan bir yaralanma tipini sunduk. Ek olarak bu tip yaralanmalarda çivi baş tarafından kraniyuma saplandıysa ameliyat öncesi ve sonrası alınması gereken önlem ve tedavi stratejileri tartıştışıldı.Anahtar Sözcükler: Kraniyoserebral delici yaralanma; çivi; cerrahi; tedavi seçenekleri.Penetrating head and neck trauma with construction nails are uncommon life-threatening injuries and an important problem in developing countries. Assessment of the neurovascular and systemic physical status is a first requirement, and the decision concerning which surgical approach to perform for the removal of the nail is of critical importance. A 10-year-old girl was presented one hour after a fall injury with complaint of a swelling and foreign body lodgment on the left forehead. Neurological and systemic physical examinations were normal except for weak direct pupillary light reflex on the left side and the patient's state of uneasiness. Radiological investigations showed that the head of the nail had entered from the left infraorbital region and become lodged through the orbital roof, below the frontal bone. Surgical extraction of the nail in the operating room was performed successfully using left pterional craniotomy and lateral orbitotomy technique, and there was no complication after surgery. Here, we report a case with a rare craniocerebral penetrating wound and type, with the head of the nail lodged in the anterior fossa through the orbital roof, which may be defined as 'reverse penetration of the nail'.

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“…Proper imaging and diagnosis are essential for operative removal [4]. Although stone foreign bodies are rare, occurring less frequently than penetration of wood splinters, glass, or metallic fragments [2], there is a growing number of reports and studies related to stone foreign bodies in ophthalmology [2,[5][6][7][8], neurosurgery [3,9,10], maxillofacial surgery, otolaryngology [11][12][13], gastroenterology [14][15][16], and vascular surgery [4]. No descriptions of stone foreign bodies were found in the available orthopedic literature.…”

Section: Introductionmentioning

confidence: 99%

Stone foreign body—radiographic and CT appearance

et al. 2012

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Mineral foreign bodies (stones) are infrequent findings in clinical and radiological practice. However, a growing number of reports indicate that they raise clinical and diagnostic concern in ophthalmology, neurosurgery, maxillofacial surgery, otolaryngology, gastroenterology, and vascular surgery. Dense finding in the soft tissue without clear history of foreign body penetration may represent diagnostic challenge mimicking calcifications or bony fragments. The aim of this work is to analyze the appearance of stone foreign bodies on radiographs and computed tomography. A collection of minerals and rocks was used for analysis. The clinical case of a stony foreign body which penetrated into the soft tissue of the leg is used to demonstrate the diagnostic challenge and management. Available literature describing imaging characteristics of stones was reviewed. The results of this work will help in diagnostic interpretation and assessment of stone foreign body composition.

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Intracranial foreign body in a globe-perforating injury

Cited by 13 publications

References 4 publications

Intracranial foreign body in a child

Intracranial foreign body in a child

Unusual penetration of a construction nail through the orbit to the cranium: a case report

Stone foreign body—radiographic and CT appearance

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