Transorbital penetrating head injury by a toilet brush handle.

Abstract

BACKGROUND:

Transorbital penetrating brain injuries are rare lesions without defined therapy standards.

CLINICAL PRESENTATION AND INTERVENTION:

A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.

CONCLUSION:

Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.

• Authors: M R Farhadi, M Becker, C Stippich, A W Unterberg, K L Kiening
• Journal: Acta neurochirurgica (Acta Neurochir (Wien)) Vol. 151 Issue 6 Pg. 685-7 (Jun 2009) ISSN: 0942-0940 [Electronic] Austria
• PMID: 19255713 (Publication Type: Case Reports, Journal Article)

Topics

• Accidental Falls
• Brain (diagnostic imaging, pathology, surgery)
• Brain Abscess (diagnostic imaging, etiology, pathology)
• Brain Injuries (diagnostic imaging, etiology, pathology)
• Cerebral Hemorrhage, Traumatic (diagnostic imaging, prevention & control, surgery)
• Craniotomy
• Decompression, Surgical
• Disability Evaluation
• Epilepsy (complications)
• Foreign Bodies (diagnostic imaging, pathology, surgery)
• Head Injuries, Penetrating (diagnostic imaging, etiology, pathology)
• Humans
• Intraoperative Complications (diagnostic imaging, etiology, prevention & control)
• Male
• Middle Aged
• Monitoring, Intraoperative (methods)
• Orbital Fractures (diagnostic imaging, etiology, pathology)
• Tomography, X-Ray Computed (methods)
• Treatment Outcome