A Case of Intracranial Wooden Foreign Body: Mimicking Pneumocephalus

Kim, Donghan; Park, Eun Suk; Seong, Han Yu; Park, Jun Bum; Kwon, Soon Chan; Sim, Hong Bo; Lyo, In Uk

doi:10.13004/kjnt.2016.12.2.144

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…Radiographic detection of accidentally implanted wooden foreign bodies is difficult. In many cases, wooden foreign bodies are initially misdiagnosed or missed, and retained foreign bodies are identified later (6)(7)(8)(9). Plain x-ray studies usually cannot detect radiolucent wooden foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

A Case of Wooden Foreign-Body Ingestion

Lee

Suh

et al. 2018

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

A Case of Wooden Foreign-Body Ingestion

Lee

Suh

et al. 2018

The Journal of Emergency Medicine

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“…Without prior knowledge of its existence (as in our case, where the patient did not know or report that a branch had entered his nostril), it may be difficult to visualize the object on imaging studies such as conventional radiography, i.e. a CT [ 1 ] or MRI [ 2 ]. Due to their air content, wooden foreign bodies are difficult to detect on either a CT or MRI.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Optic Neuropathy and Monocular Blindness following Transnasal Penetrating Optic Canal Injury by a Wooden Foreign Body

Younis

Berkowitz

Shreter

et al. 2018

Case Rep Ophthalmol

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Purpose: To report a case of right eye blindness due to a penetrating injury in the contralateral nostril. Methods: This is a case report of a 67-year-old patient who presented to the emergency room complaining of transient blurred vision in his right eye after falling on a small branch with no apparent injury besides minor lacerations. The following day, the patient experienced blindness in the right eye. Physical examination revealed small lacerations on his left forehead and optic neuropathy on the right side with no other obvious discerning physical or imaging abnormalities. Results: After elevated suspicion and reassessment of the neuroimaging findings, a radiolucent track was observed in the nasal cavity, continuing up from the left nostril to the right optic nerve. Transnasal endoscopic surgery was performed and a long wooden branch was removed from the nasal cavity. Conclusion: A nasally penetrating wooden foreign body can cause traumatic optic neuropathy and vision loss on the unaffected side and can be very difficult to locate and image without any clear external evidence as to its presence. This case highlights the importance of maintaining a high level of suspicion in these types of cases.

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“…Open debridement for foreign body extraction and tissue devitalization should be conducted. 2,3,6,7 Extracted foreign bodies should undergo aerobic, anaerobic organism or fungal cultures. Empirical antibiotics and tetanus immunization should be added to the treatment.…”

Section: Publisher: Faculty Of Medicine Universitas Muslim Indonesiamentioning

confidence: 99%

“…CT -angiography is a simple and fast screening imaging modality to obtain enlightenment in trauma cases. Objects passing through large blood vessels, objects near sinus dura, and signs of artery hemorrhage are indications of preoperative angiography 3,4,6,7. Intracerebral hemorrhage, contusion, damage to large blood vessels and meningitisare the causes of death during the early period.…”

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confidence: 99%

A Rare Case of Chronic Intracerebral Foreign Body

Imran

WAHYUDI

2020

GMJ

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Introduction: Intracranial foreign bodies are usually caused by trauma that penetrates the cranium. Gunshot wounds are the most common cause, while non-missile intracranial penetration is rare. The patient’s clinical condition highly depends on the mechanism, anatomical location of the lesion, and related injuries. Possible complications include intracerebral hemorrhage, contusion, major injury on the vascular, and meningitis. In this article, we report case of intracerebral nail extraction from a patient with right cerebral foreign body. Case presentation: A 22-year-old man with a history of unspecified schizophrenia reported with reduced awareness accompanied by weakness of his left limb. During a head CT scan of the head, there are several tubular foreign bodies in the right cerebral. Craniotomy for foreign body extraction and drainage of the cerebral abscess is immediately performed. Four days after surgery, the patient had increased awareness, although there was no significant improvement in motor strength. One month after discharged from hospital there was slight improvement in motor strength. Conclusion: Extraction of foreign bodies by a surgical procedure is mandatory and should be performed thoroughly. The administration of antibiotics, anticonvulsants, physiotherapy, and psychiatric follow-up should be added to the treatment of this patient.

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A Case of Intracranial Wooden Foreign Body: Mimicking Pneumocephalus

Cited by 7 publications

References 9 publications

A Case of Wooden Foreign-Body Ingestion

A Case of Wooden Foreign-Body Ingestion

Traumatic Optic Neuropathy and Monocular Blindness following Transnasal Penetrating Optic Canal Injury by a Wooden Foreign Body

A Rare Case of Chronic Intracerebral Foreign Body

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