BACKGROUND: A transorbital intracranial injury with a wooden foreign body can be very difficult to diagnose and manage. The orbit forms an easy path for low-velocity foreign bodies into the intracranial space. The severity of the injury is often masked by unobtrusive superficial wounds. Computed tomography (CT) findings may be misinterpreted as pneumocephalus. CASE DESCRIPTION: We present a young gentleman who had a fall under the influence of alcohol near a bush and, on clinical presentation, had very little signs of a penetrating injury in the skin. There was some numbness in the V1 distribution of the trigeminal nerve. Further investigation and management are described. CONCLUSION: Although magnetic resonance imaging is more sensitive and specific, a CT angiogram with 3-dimensional reconstruction will provide much insight into the mode of intervention required. We present an anatomical classification for such injuries.
BACKGROUND: A transorbital intracranial injury with a wooden foreign body can be very difficult to diagnose and manage. The orbit forms an easy path for low-velocity foreign bodies into the intracranial space. The severity of the injury is often masked by unobtrusive superficial wounds. Computed tomography (CT) findings may be misinterpreted as pneumocephalus. CASE DESCRIPTION: We present a young gentleman who had a fall under the influence of alcohol near a bush and, on clinical presentation, had very little signs of a penetrating injury in the skin. There was some numbness in the V1 distribution of the trigeminal nerve. Further investigation and management are described. CONCLUSION: Although magnetic resonance imaging is more sensitive and specific, a CT angiogram with 3-dimensional reconstruction will provide much insight into the mode of intervention required. We present an anatomical classification for such injuries.
Authors: Jan-Karl Burkhardt; David Holzmann; Lisa Strobl; Christoph M Woernle; Martina M Bosch; Spyros S Kollias; Robert Reisch Journal: Childs Nerv Syst Date: 2012-03-10 Impact factor: 1.475
Authors: Amit Agrawal; V Umamaheswara Reddy; S Satish Kumar; Kishor V Hegde; G Malleswara Rao Journal: Craniomaxillofac Trauma Reconstr Date: 2015-05-21