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Related Experiment Video

Updated: Jan 17, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
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Silent orbitocranial penetration by a pencil

S Dinakaran1, P J Noble

  • 1Department of Ophthalmology, Doncaster Royal Infirmary.

Journal of Accident & Emergency Medicine
|July 29, 1998
PubMed
Summary

Computed tomography (CT) is crucial for eyelid injuries. Even asymptomatic cases may involve intracranial penetration, highlighting the need for CT scans to assess the full extent of damage.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Radiology

Background:

  • Penetrating eyelid injuries often appear minor.
  • Clinical assessment alone may not reveal the full extent of damage.

Observation:

  • A case of penetrating upper eyelid injury was reported.
  • The patient was clinically asymptomatic.

Findings:

  • Computed tomography (CT) revealed intracranial penetration despite the absence of symptoms.
  • The injury left a track within the brain parenchyma.

Implications:

  • CT of the orbit and brain is vital for evaluating seemingly trivial eyelid injuries.
  • Early detection of intracranial involvement is critical for patient management.

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