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An unusual orbito-cranial foreign body.
M Misra1, G M Khan, A B Mohanty
1Neuroophthalmic section, SCB Medical College Hospital, Cuttack, Orissa.
Indian Journal of Ophthalmology
|July 1, 1992
Summary
Orbital gunshot wounds are rare, especially when the brain injury is on the opposite side of the head. This case highlights an unusual trajectory of a bullet in a rare orbito-cranial injury.
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Background:
- Orbito-cranial gunshot wounds are infrequent in both military and civilian contexts.
- Previous literature indicates orbital injuries typically correlate with ipsilateral cerebral damage.
- A prior case reported left parieto-occipital lobe injury from a right orbital gunshot wound.
Observation:
- This report details an exceptionally rare case of a gunshot wound to the left frontal bone.
- The projectile was discovered lodged below the contralateral (right) optic canal.
- This unusual missile trajectory presents a unique clinical scenario.
Findings:
- The patient sustained a penetrating gunshot injury to the left frontal bone.
- Radiological examination revealed the bullet's location inferior to the right optic canal.
- This contralateral and inferior missile path is highly atypical for orbito-cranial injuries.
Implications:
- This case underscores the potential for complex and unexpected missile trajectories in orbito-cranial injuries.
- It challenges conventional understanding of injury patterns in such trauma.
- Such rare occurrences necessitate a high index of suspicion and meticulous diagnostic evaluation in head and orbital trauma cases.