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Case Reports
. 2010 Oct 5:4:1103-5.
doi: 10.2147/OPTH.S9638.

Surgical treatment of a transorbital penetrating brain injury

Wellingson Silva Paiva  1 , Bernardo Monaco, Marcelo Prudente, Matheus Schimidt Soares, Robson Luis Oliveira de Amorim, Almir Ferreira de Andrade, Manoel Jacobsen Teixeira
Affiliations
Case Reports

Surgical treatment of a transorbital penetrating brain injury

Wellingson Silva Paiva et al. Clin Ophthalmol. .

Abstract

Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital injury, resulting in meningitis. We performed a combined surgical approach with neurosurgeons and ophthalmogic surgeons. Upon discharge, the patient had a Glasgow Coma Scale score of 15, no motor deficit and no visual loss. We discuss the management of this case and review current literature.

Keywords: brain trauma; penetrating head trauma; transorbital penetrating brain injury.

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Figures

Figure 1
Figure 1
CT scan of skull axial (A), coronal (B), and sagittal (C) of the head showing a fracture of the orbital roof and speck of pneumocephalus, however no foreign bodies can be verified in this case involving wood fragment on CT examination.
See this image and copyright information in PMC

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