Puncture Wound of the Eyelid Causing Brain Abscess

Orbitocranial penetrating injury by a metallic foreign body. Case report and anatomical considerations

“…OPI with higher-velocity usually cause fractures of the orbital walls, and their penetration in cranial cavity is directed by the trajectory of the penetrating bodies (17,23,30,32). So that the foreign bodies, which are vertically directed (upward), would perforate the roof of the orbit, causing frontal lobe injury (7,14,18,21), and those horizontally directed would perforate lamina papyracea of ethmoid bone or the posterior orbital wall (3,6,15,23).…”

Meningitis and Brain Abscess Due to Clostridium Perfringens And Clostridium Paraputrificum Following Orbital Trauma

“…The intracranial complications of penetrating orbital injuries have been well described (Bard, 1964;Duffy, 1969;Dujovny, 1975Fanning, 1976Foy, 1980;Guthkelch, 1960;Miller, 1977;Verin, 1976). These injuries are most common in children.…”

Transorbital Penetrating Head Injury (TOPHI): Short Series of Two Cases with Review of Literature

“…2,3,6 Turbin et al opined low velocity TOPHI may be directed towards superior or inferior orbital fissures, 3 further high velocity object traversing perpendicular to orbital wall can cause fracture of orbital wall; however, those with a trajectory 45-degree angle of lateral wall may even cross the midline to damage contralateral structures. [3][4][5] Turbin et al analyzed 37 such cases and based on entry points of TOPHI in relation to orbital anatomy categorized into four zones of entry of TOPHI and to monitor further its trajectory course. Zone 1 being lateral, central, and unspecified part of upper eyelid, Zone 2 including central, lateral, and inferior conjunctival entry.…”