Recurrent brain abscess due to an unexpected foreign body

Vandertop, W. P.; Vries, Willem B. de; Swieten, John van; Ramos, L. M. P.

doi:10.1016/0090-3019(92)90063-s

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…In such cases, eyelid laceration is sutured without further investigation [ 3 ]. This delayed diagnosis of the penetrating foreign body is usually associated with more complications, such as orbital cellulitis, cerebral abscess, meningitis, and even delayed neurological deterioration related to slowly expanding intracranial hematoma [ 5 , 19 ]. Mortality has been reported to be high in old literatures due to infections and lack of optimal antimicrobial therapy [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Transorbital Craniocerebral Occult Penetrating Injury with Cerebral Abscess Complication

Abdulbaki

Almalki

Alohaly

et al. 2012

Case Reports in Ophthalmological Medicine

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Transorbital intracranial penetrating injury is an uncommon mechanism of head injury. These injuries can be occult during the initial clinical presentation. Certain patients develop an intracranial cerebral infection. Herein, we report a 5-year-old child with an occult transorbital intracranial penetrating injury caused by a pen. A retained pen tip was found at the superior orbital roof and was not noticed at initial presentation. This was complicated by a right frontal lobe cerebral abscess. This paper emphasizes the importance of orbitocranial imaging in any penetrating orbital injury. A review of the literature on intracranial infection locations in relation to the route and mechanism of injury is included to complement this report.

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Section: Discussionmentioning

confidence: 99%

Transorbital Craniocerebral Occult Penetrating Injury with Cerebral Abscess Complication

Abdulbaki

Almalki

Alohaly

et al. 2012

Case Reports in Ophthalmological Medicine

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“…This occult injury can be associated with significant complications such as brain abscesses and intracranial hematomas that can have life-threatening sequels [2]. Recurrent brain abscesses due to the presence of unexpected wooden foreign bodies have been reported [3]. Therefore, appropriate radiological imaging is indicated in cases with orbital penetrating wounds.…”

Section: Introductionmentioning

confidence: 99%

Occult Orbitocranial Penetrating Pencil Injury in a Child

Baeesa

2012

Case Reports in Surgery

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Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.

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“…[18][19][20][21][22] If left untreated, these injuries can result in life-threatening intracranial complications which include brain abscess, meningi-tis, cerebrospinal fluid leakage, hemorrhage, neurological deficit, and subsequent high mortality. 14,[23][24][25][26][27] In addition, many vascular complications (including hemorrhage, thrombosis, and occlusion) and ocular complications (including ocular laceration, retrobulbar hematoma, proptosis, and optic nerve damage) have been reported in the literature. 19,28,29 The goal of management is initial resuscitation, safe removal Fig.…”

Section: Discussionmentioning

confidence: 99%

Transorbital Orbitocranial Penetrating Injury with an Iron Rod

Agrawal

Reddy

Kumar

et al. 2016

Craniomaxillofacial Trauma & Reconstruction

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Transorbital orbitocranial penetrating injuries (TOPIs) are relatively rare, can be caused by high-speed projectile foreign bodies to low-energy trauma (which is rarer), and account for 24% of penetrating head injuries in adults and approximately 45% in children. We report an uncommon nonfatal case of TOPI where a 16-year-old male child sustained injury due to accidental penetration of metal bar into the forehead. A bicoronal flap was raised to remove the metal bar. The patient recovered well, had normal vision, and doing well at follow-up.

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Recurrent brain abscess due to an unexpected foreign body

Cited by 10 publications

References 12 publications

Transorbital Craniocerebral Occult Penetrating Injury with Cerebral Abscess Complication

Transorbital Craniocerebral Occult Penetrating Injury with Cerebral Abscess Complication

Occult Orbitocranial Penetrating Pencil Injury in a Child

Transorbital Orbitocranial Penetrating Injury with an Iron Rod

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