Penetrating orbitocranial injury: a review of the literature and a case report of injury by a watercolor brush in a 3-year-old child

Abstract

We present a rare case of orbitocranial penetrating injury by a watercolor brush in a 3-year-old child. Injuries of this localization can affect important orbital structures (eyeball, blood vessels, nerves, muscles) and cause severe intracranial damages. In some cases, diagnosis of these injuries in children may be difficult due to the lack of marked clinical manifestations. The presented clinical case illustrates the approaches for choosing methods for diagnosis of injury in childhood and subsequent treatment options.

Penetrating transorbital injury by a coloring pencil in a 3-year-old child: A case report

“…Multidisciplinary approaches to the presurgical evaluation and radiological examination in patients with penetrating transorbital injuries are mandatory and should include neurological and ophthalmological examinations. 7 , 9 – 11 For example, the Kerning or Babinski signs are negative, the bilateral pupils are isocoric and normally responsive to light, the eyeball is intact, and visual acuity and ocular movements are normal. The outcome of intraorbital penetrating injuries varies significantly depending on the type of injury and the involvement of vital structures.…”