Orbitocranial Penetration by a Fern: Case Report

Kahler, R.J; Tomlinson, Francis H.; Eisen, David; Masel, J.

doi:10.1097/00006123-199806000-00108

Cited by 38 publications

(36 citation statements)

References 19 publications

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“…These are most common characteristics of the periorbital penetrations in common clinical practice. On the other hand, if the wood passes through the intracranial cavity via the superior orbital fissure, ıt may cause trauma to the 3th, 4th, 5th and 6th cranial nerves or produce a traumatic arterial fistula involving the carotid artery and cavernous sinus (3,8,9). These findings in children can be supported by case reports in relevant literature (Table I).…”

Section: Discussionmentioning

confidence: 60%

“…Transorbital intracranial penetrating injuries due to wooden foreign bodies and especially those not fracturing any of the walls of the orbit and going through the superior orbital fissure are extremely rare (1)(2)(3)6,8,9). In the present report, authors described an unusual case of the transorbital intracranial penetrating injury, which appears to be first such case in the literature.…”

Section: Introductionmentioning

confidence: 61%

“…These findings in children can be supported by case reports in relevant literature (Table I). The most common characteristics of five cases on initial neurological examinations were accompanied by serious cranial nerve palsies (2,3,5,7,10). Only an asymptomatic case was immediately operated after penetrating transorbital intracranial injury(4), whereas in the present case, the patient is only a child who is neurologically intact despite a delayed admission.…”

Section: Discussionmentioning

confidence: 83%

“…In particular, the presence of a discharging sinus should evoke suspicion of a retained wooden object, regardless of the time interval between the trauma and current presentation (3,6). In the reported case, a history of recurrent orbital cutaneous fistula caused a high clinical suspicion of retained foreign body.…”

Section: A B Cmentioning

confidence: 77%

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A retained wood penetrating the superior orbital fissure in a neurologically intact child

Şanlı¹,

Kertmen²,

Yı́lmaz³

et al. 2010

Turkish Neurosurgery

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Transorbital intracranial injuries due to a wooden foreign body traversing superior orbital fissure is an extremely rare condition. A 9-year-old boy was struck by a tree branch in the left eye while playing in the garden two months ago. On physical examination, the patient had only a hypertrophic scar on his medial side of left upper eyelid at the admission. A history of recurrent cutaneous fistula from the puncture site due to a retained foreign body was suspected, and the patient was hospitalized to evaluate and remove the object to prevent severe infection. Afterwards, the child was operated successfully via the left transcranial route to detect and remove the foreign body. The authors described an unusual case of wooden foreign body that traversed the superior orbital fissure yet caused no deficit and was associated with no fracture. Even if symptoms are absent, removal of a wooden foreign body should be immediately performed to prevent sight-threatening and lifethreatening complications. KeywoRds: Orbitocranial, Superior orbital fissure, Wooden, Foreign body ÖZSuperior orbital fissürü kateden ağaç yabancı cismin neden olduğu transorbitokranial yaralanmalar oldukça nadirdir. Dokuz yaşında erkek çocuk bahçede oynarken, ağaç parçası sol gözüne batmıştır. Başvuru sırasında fizik muayenede yalnızca sol üst göz kapağı medial kısmında hipertrofik skar bulunmuştur. Yaralanma noktasından tekrarlayan fistülün bir yabancı cisim şüphesine neden olmasıyla, incelemek ve şiddetli bir enfeksiyonu önlemek amacıyla çıkartmak üzere hastaneye yatırılmıştır. Ardından, saptanan yabancı cismi çıkartmak için transkranial yol kullanılarak başarı ile opere edilmiştir. Yazarlar, superior orbital fissürü katederek defisite ve kırığa neden olmayan nadir bir tahta yabancı cisim olgusu tanımlamıştır. Semptom olmasa bile tahta yabacı cismin çıkarılması, görmeyi ve hayatı tehdit eden komplikasyonları önlemek için hemen gerçekleştirilmelidir.

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Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 83%

Section: A B Cmentioning

confidence: 77%

See 2 more Smart Citations

A retained wood penetrating the superior orbital fissure in a neurologically intact child

Şanlı¹,

Kertmen²,

Yı́lmaz³

et al. 2010

Turkish Neurosurgery

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“…Most of the time simple radiological examination of the orbit fails to identify these foreign bodies. Computerised Tomography (CT) scan could be a valuable aid as it provides a method of visualizing tissues and objects of different densities [1][2][3] . This report highlights a patient with confusing clinical history and findings but with radiological diagnosis of transorbital penetrating injury with retained nonmetalic foreign body.…”

Section: Introductionmentioning

confidence: 99%

Hidden Foreign Body in the Orbit and Cavernous Sinus Masquerading Strabismus

Rauniyar

Badhu

Sharma³

et al. 2012

Nep J Radiology

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Intraorbital foreign bodies with intracranial extension can produce both visual and life threatening problems. The present report highlights a 9 year old patient who sustained an ocular trauma following a fall from a height, but refused to admit the same and reported to the ophthalmologist late when complicated symptoms such as deviation of eye ball with mild proptosis appeared. The authors described the value of accurate history taking and complete radiological evaluation for these traumatised eyes. Clinical examination and routine radiological study may not be sufficient to detect these foreign bodies.

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Delayed Orbital Foreign Body Reaction to Dicotyledon (Hardwood) Libriform Fibers

Mayo

Long²,

Fitzsimmons³

et al. 2002

Arch Ophthalmol

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Orbitocranial Penetration by a Fern: Case Report

Abstract: Retained intracranial wood should be removed. The radiological diagnosis can be difficult, and magnetic resonance imaging is the investigation of choice. Magnetic resonance imaging may not detect some cases of organic foreign material penetration.

Cited by 38 publications

References 19 publications

A retained wood penetrating the superior orbital fissure in a neurologically intact child

A retained wood penetrating the superior orbital fissure in a neurologically intact child

Hidden Foreign Body in the Orbit and Cavernous Sinus Masquerading Strabismus

Delayed Orbital Foreign Body Reaction to Dicotyledon (Hardwood) Libriform Fibers

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