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Case Reports
. 2021 Oct 14:71:102937.
doi: 10.1016/j.amsu.2021.102937. eCollection 2021 Nov.

An extremely rare case: Transorbital penetrating intracranial injury by wooden foreign body. Case report

Wahyudi  1 , Ahmad Zaky  2 , Andi Asadul Islam  3 , Prihantono  4 , Rohadi Muhammad Rosyidi  5
Affiliations
Case Reports

An extremely rare case: Transorbital penetrating intracranial injury by wooden foreign body. Case report

Wahyudi et al. Ann Med Surg (Lond). .

Abstract

Introduction and importance: Transorbital Penetrating Intracranial Injury (TOPI) is a rare case, but those caused by Wooden Foreign Body are even challenging that may pose unusual diagnostic and surgical challenges.

Case presentation: we presented a TOPI following a wood penetrated to the left temporal fossa region via orbital roof due to struck the tree branches while got a motor vehicle accident. The patient was fully conscious with decreased visual acuity in the left eye and left ophthalmoplegia. Non-contrast CT scan showed the linear-shaped foreign body, air mimicking that penetrated medial orbit plane to the left temporal fossa.

Clinical discussion: The surgery was performed with a temporobasal approach and revealed good results with only mild ophthalmologic complications without long-term fatal complications (1-year followed-up).

Conclusion: early removal of wooden foreign body that penetrates to the intracranial via transorbital is mandatory and should be involved multidisciplinary approach to get the optimal result and avoid the fatal complication both neurologically or ophthalmologically.

Keywords: Case report; Multidisciplinary approach; Orbitocranial injury; Penetrating injury; Wooden foreign body.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Bleeding and minor laceration medial canthus with hematoma in the left upper eyelid.
Fig. 2
Fig. 2
Noncontrast and contrast head CT scan showed a linear-shaped hypodense foreign object in left medial orbit penetrate to the left temporal fossa, no contusion and cerebral edema.
Fig. 3
Fig. 3
CT Angiography showed no vascular injury or vascular near to the foreign body.
Fig. 4
Fig. 4
Wooden foreign body was seen in the left temporal fossa. (1) frontozygomatic arch, (2) Frontal, (3) wooden foreign body.
Fig. 5
Fig. 5
Wooden foreign body was seen after retracted from intracranial with length approximately 7 cm.
Fig. 6
Fig. 6
A membrane growth from medioinferior site as it partially covers the lower part of the left eye (mirroring effect due to a selfie taken mode photo), the pupil size between the right and left eye are unequal.
See this image and copyright information in PMC

References

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