Related Experiment Videos
[Penetrating transorbital intracranial foreign body]
No Shinkei Geka. Neurological Surgery
|August 1, 1982
Summary
A rare case of intracranial foreign body from a stab wound to the eye was successfully removed. The pterional approach facilitated safe removal and repair, preventing complications like meningitis.
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Background:
- A 25-year-old male sustained a penetrating left eye injury from a beer bottle.
- Initial management included emergency eye surgery, followed by admission for artificial eye placement.
Observation:
- An intracranial foreign body was identified in the left superior orbital fissure via imaging (X-ray, CT scan).
- Cerebral contusion and cerebrospinal fluid leakage (liquorrhea) were suspected.
Findings:
- Surgical removal of the foreign body and dural repair were performed in a single stage using a pterional craniotomy.
- The patient experienced an uneventful recovery, with no signs of cerebrospinal fluid leakage or meningitis.
Implications:
- The pterional approach, typically used for malignant exophthalmos, proved effective for this intracranial foreign body removal.
- The case highlights a rare instance of cerebrospinal orbitorrhea, suggesting its potential occurrence in similar orbital trauma cases.