Brain Abscess Following Transorbital Penetrating Injury Due to Bamboo Fragments. Case Report.

Abstract

A 56-year-old female presented with transorbital penetrating injury caused by bamboo fragments, which resulted in brain abscess 2 weeks after the injury. Initial computed tomography (CT) of the head did not reveal the foreign bodies. However, follow-up CT demonstrated a well-defined hyperdense abnormality of 1.0 cm length in the left orbit and brain abscess in the left temporal lobe. The lesion corresponding to the hyperdense abnormality on CT appeared isointense on T 1 -weighted magnetic resonance (MR) imaging and hypointense on T 2 -weighted MR imaging. The bamboo fragments were surgically removed, and aspiration and continuous drainage were performed for the brain abscess. The postoperative course was uneventful and the patient was transferred to a local hospital with minor neurological deficits. Bamboo foreign bodies may show changes in properties on CT and MR imaging in the subacute stage. Careful radiological examination and follow-up monitoring are required for the correct diagnosis and treatment of such injuries.

Percutaneous endoscopic removal of a residual foreign body at the orbital-cranial region after transorbital penetrating injury: a novel minimally invasive technique

“…However, complete removal of organic foreign bodies such as bamboo is important as any remaining pieces could cause an inflammatory response and even severe infection. Also, incomplete removal of the organic foreign body might also lead to massive bleeding due to the erosion of major artery by chronic inflammation process [5]. CT bone windows with a width of −1000 HU and a soft tissue window level of −500 HU have been suggested to better identify wooden foreign body and MR would further support the existence of organic foreign bodies by capturing the associated inflammation process [6].…”

Bamboo in the Brain—an Unusual Mode of Injury

“…Penetrating injuries of the brain are relatively rare representing about 0.4 % of all head injuries, and those caused by wooden objects are still uncommon [1][2][3][4][5][6][7]. Orbit is the most common and easy portal to the intracranial cavity for these injuries due to the thinner bone [1][2][3][4][5][6][7].…”

“…Orbit is the most common and easy portal to the intracranial cavity for these injuries due to the thinner bone [1][2][3][4][5][6][7]. There is only one case report of penetrating injury by a wooden object through the tough calvarial convexity as in our case reported by Arifin et al [5].…”

“…Penetrating injury to the brain by bamboo is rare. Orbit is the most common site of such injuries [1][2][3][4]. We report a case of calvarial penetration by bamboo.…”

Transorbital Penetrating Brain Injury by Branchlet: A Rare Case

“…Penetrating injury through the orbital roof may affect the circle of Willis, and through the superior orbital fissure may affect cranial nerves III, IV, V, or VI, whereas a wound affecting the carotid artery can lead to carotid-cavernous fistula (4). Intracranial infections are often noted in the chronic stage after transorbital penetrating injury (5). Wood is very dangerous because it is porous, easily fragmented, and provides a good medium for microbial agents.…”