Penetrating intracranial wood wounds: clinical limitations of computerized tomography

Hansen, James E.; Gudeman, Steven K.; Holgate, Richard C.; Saunders, Richard

doi:10.3171/jns.1988.68.5.0752

Cited by 113 publications

(86 citation statements)

References 19 publications

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“…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: 82%

“…The orbit is in the shape of a horizontal pyramid on a posteromedial axis and forms an easy path for low velocity foreign bodies into the intracranial space (2,7,10). This shape tends to deflect objects entering the orbit toward the apex where the superior orbital fissure and optic foramen may provide a passage to the intracranial contents (2,10).…”

Section: Discussionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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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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show abstract

“…Although the eye and all other orbital struc tures must be assessed for possible injury, the resilience of the sclera and the displaceability of the globe often protect it. 6 Orbital foreign bodies can penetrate the cranial cavity or paranasal sinuses. The pyramidal shape of the orbit may deflect objects entering it towards the apex, where the superior orbital fissure and optic canal allow passage to the middle cranial fo ssa.…”

Section: Discussionmentioning

confidence: 99%

Bamboo orbital foreign body mimicking air on computed tomography

Greaney

1994

Eye

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“…If a major vascular lesion is suspected in the venous sinus and in cases of late subarachnoid hemorrhage or intracerebral hemorrhage, angiography by digital brain subtraction may be indicated after intervention for surgical planning (6,7,9,10,13). If the first scan is negative, it is best to repeat the examination 2 to 3 weeks later (14).…”

Section: Discusionmentioning

confidence: 99%

Unusual cranial trauma caused by pencil in teenager: case report

Rashid¹,

Abdelrazaq²,

Hoz³

et al. 2017

Romanian Neurosurgery

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Introduction:Penetrating lesions by pencil in the temporal lobe in children and adolescents are uncommon. We present the case of a teenager with penetrating injury by strange object in the temporal lobe. Case: Twelve years old male patient, with history of trauma while he was playing with his friends, presents alteration of the consciousness state, weakness in right hemibody and dysphasia. Urgent surgery is practiced employing an incision in "C" form with improvement of the consciousness state during post-operative. Discussion: Penetrating lesions in the skull and brain are classified as missiles and non-missiles depending of their impact velocity. The wood is a porous organic material that provide a natural deposit of microbian agents, making it potentially lethal. Pre-operative radiological evaluation allows check the trajectory of the penetrating object and secondary lesions present guiding de neurosurgical approach. The prognostic depends on penetration site, timely handling and complications associated. Conclusion: Penetrating lesions by pencil are uncommon, an appropriate imaging evaluation is fundamental to determine the neurosurgical approach that allows prevent and/or decrease secondary damage.

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Penetrating intracranial wood wounds: clinical limitations of computerized tomography

Cited by 113 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

Bamboo orbital foreign body mimicking air on computed tomography

Unusual cranial trauma caused by pencil in teenager: case report

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