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Orbitocerebral injury by a knife: case report
1Ankara Numune Education and Research Hospital. Neurosurgery Clinics. Ankara. Turkey.
Neurocirugia (Asturias, Spain)
|October 16, 2009
Summary
Orbital penetrating injuries require prompt recognition and surgical intervention. This case highlights managing a bread knife injury extending from the orbit to the brain, emphasizing early surgical removal to prevent complications.
Area of Science:
- Ophthalmology
- Neurosurgery
- Trauma Surgery
Background:
- Orbital penetrating injuries pose risks to ocular and neurological structures.
- Standard management involves antibiotics, tetanus prophylaxis, anticonvulsants, and surgical exploration.
- Foreign bodies in the orbit necessitate careful evaluation and intervention.
Observation:
- A rare case of a bread knife causing a penetrating orbital injury is presented.
- The injury extended from the orbit to the tegmental dura mater of the temporal bone.
- The knife's trajectory traversed the temporal lobe, impacting adjacent cerebral structures.
Findings:
- Surgical exploration revealed the knife's extensive path through orbital and intracranial structures.
- Early surgical intervention under direct vision was crucial for foreign body removal.
- Management focused on preventing immediate and long-term complications.
Implications:
- This case underscores the importance of a multidisciplinary approach in managing complex orbital trauma.
- Prompt surgical removal of penetrating orbital foreign bodies is critical for favorable outcomes.
- Understanding the trajectory and extent of injury is vital for neurosurgical and ophthalmological management.
