Observations upon the Management of Orbito-Cranial Wounds

Webster, J. E.; Schneider, Richard C.; Lofstrom, James E.

doi:10.3171/jns.1946.3.4.0329

Cited by 28 publications

(9 citation statements)

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“…11) The mortality has been reported as 25% 11) and 12.5%. 15) Wooden objects are not always recognizable on roentgenograms. Diagnosis was difficult in 92% of cases.…”

Section: Discussionmentioning

confidence: 99%

Transorbital Penetrating Injury by a Chopstick. Case Report.

Matsuyama

Okuchi

Nogami

et al. 2001

Neurol. Med. Chir.(Tokyo)

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A one-year-old boy presented with orbitocranial penetrating injury by a chopstick. Neurological examination did not reveal abnormal findings. Skull radiography did not reveal any sign of fracture and there were no abnormal findings. Initially, computed tomography (CT) of the head did not reveal any intracranial lesions. However, bone window CT showed a well-defined low-density abnormality measuring 2.5 cm in length in the right orbit and parasellar region. Magnetic resonance imaging clearly revealed a low-intensity structure extending from the orbit to the prepontine area. Surgical exploration was emergently performed and the wooden fragment was removed. The postoperative course was uneventful. Transorbital penetrating injury by a wooden foreign body is relatively rare. The wound may be superficial and trivial. Major neurological deficit does not usually manifest immediately, so the penetrating injury may be overlooked. If the foreign body is retained in the orbit and cranium, severe infectious complications may occur later.

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“…11) The mortality has been reported as 25% 11) and 12.5%. 15) Wooden objects are not always recognizable on roentgenograms. Diagnosis was difficult in 92% of cases.…”

Section: Discussionmentioning

confidence: 99%

Transorbital Penetrating Injury by a Chopstick. Case Report.

Matsuyama

Okuchi

Nogami

et al. 2001

Neurol. Med. Chir.(Tokyo)

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“…As an organic material, wood absorbs water and can mimic air on CT. The Hounsfield unit (HU) of wood range between −500 and −200 HU, whereas HU of air is −1000 [9]. There was no wood in the parenchyma in our case because it came out after piercing the right orbital wall.…”

Section: Discussionmentioning

confidence: 85%

Transorbital penetrating head trauma leading to serious cerebral edema - A case report

Avci

Yavuz

Şeker

et al. 2019

Trauma Case Reports

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Penetrating transorbital head injuries are rarely seen. We present a 6-year old male patient who was referred to our department after a wooden stick penetrated his right eye. On admission his general condition was well and he showed no neurologic deficits. On his cranial computed tomography (CT) there was a fracture on his right orbital wall and minimal subarachnoid hemorrhage in his right frontal lobe. On later follow-ups the patient's condition worsened and his control CT showed diffuse cerebral edema. The patient underwent emergent decompressive surgery. Due to this immediate intervention the patient was released from the hospital with no major deficits later. Up to our knowledge, there are no cases in the literature reported in which decompressive craniectomy was necessary after a transorbital penetrating head trauma.

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“…A 12% mortality rate was found among 42 patients with orbitocranial wounds treated during World War II, as reported by Webster et al . ( 9 ). Rish et al .…”

Section: Discussionmentioning

confidence: 99%

Penetrating Orbitocranial Injury

Klančnik

Ivanišević

Lupi-Ferandin

et al. 2018

ACC

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SUMMARY – A case of a 37-year-old female patient is presented. The patient was admitted to the Surgical Emergency Unit after accidental fall on a metal rod when she had sustained stab injury of the right orbit with penetration into the right frontal brain lobe. Multi-slice computed tomography (MSCT) showed penetrating injury and fracture of the right orbital roof without eyeball damage and endocranial impressed bone fragments into the right frontal brain lobe. Urgent surgical intervention was performed by a maxillofacial surgeon and neurosurgeon, including reposition of bone fragments of the orbital roof and cranioplasty. Reconstruction of Tenon’s capsule of the right eyeball was performed by an ophthalmologist. From the intraoperative wound swab of the orbit, Bacillus cereus was isolated, therefore the patient was administered ciprofloxacin and rifampicin as recommended by an infectious disease (ID) specialist. Follow up brain MSCT at 15 days and magnetic resonance imaging of the brain at 25 days showed brain edema in the right frontal area and signs of local brain abscess. Intravenous administration of the ciprofloxacin and metronidazole antibiotics with corticosteroids for edema suppression were ordered by the ID physician. Fourteen weeks after this therapy, brain MSCT showed complete abscess regression and no neurologic deficit with only mild psychomotor changes.

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Observations upon the Management of Orbito-Cranial Wounds

Cited by 28 publications

References 0 publications

Transorbital Penetrating Injury by a Chopstick. Case Report.

Transorbital Penetrating Injury by a Chopstick. Case Report.

Transorbital penetrating head trauma leading to serious cerebral edema - A case report

Penetrating Orbitocranial Injury

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