Transorbital Penetrating Intracranial Injury by a Chopstick

Abstract

A 38-year-old man fell from a chair with a chopstick in his hand. The chopstick penetrated his left eye. He noticed pain, swelling, and numbness around his left eye. On physical examination, a linear wound was noted at the medial aspect of the left eyelid. Noncontrast computed tomography (CT) study showed a linear hypodense structure extending from the medial aspect of the left orbit to the occipital bone, suggesting a foreign body. This foreign body was hyperdense relative to normal parenchyma. From a CT scan with 3-dimensional reconstruction, the foreign body was found to be passing through the optic canal into the cranium. The clear plastic chopstick was withdrawn without difficulty. The patient was discharged home 3 weeks after his surgery. A treatment plan for a transorbital penetrating injury should be determined by a multidisciplinary team, with input from neurosurgeons and ophthalmologists.

Orbitocranial Penetrating Injury With Multiple Vessel Invasion in an Infant: A Case Report and Literature Review

“…OPI is a subset of PBI, which is the most life-threatening form of TBI and can be classified into two types; high-energy and low-energy (6,8,9). In clinical practices, the majority of nonmissile PBI are low-energy and commonly observed in the anatomically thin areas of the cranium, such as the squamous bones, basilar foramen, and orbital bones (10).…”

Minimally Invasive Subtemporal Intradural Approach for Penetrating Orbitocranial Injury by Wooden Foreign Body Into the Lateral Wall of the Cavernous Sinus

“…The vast majority of patients suffering such injuries are within the pediatric age group and falling is the main mechanism (1). Injuries involving a wooden FB are even scarcer than those involving other materials such as metal or glass and may pose unusual diagnostic and surgical challenges (12)(13)(14)(15)(16)(17)19). Table 1 highlights a list of selected published cases of wooden FB orbitocranial penetrating injury.…”

“…Diagnosis can be challenging in cases of trivial trauma. The radiological diagnosis can be particularly challenging for a wooden FB which can mimic pneumocephalus in CT scans (12)(13)(14)(15)(16)(17).…”

Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature

“…3D modeling has been frequently used in the presurgical planning of PSBIs in previous studies [ 8 , 11 , 15 – 17 , 19 , 23 , 24 , 28 ]. 3D models can be viewed in 360 degrees, rotated, and studied from any perspective [ 29 – 31 ], which facilitate the diagnosis and operation to some extent [ 30 , 31 ].…”