A Case of Intracranial Wooden Foreign Body: Mimicking Pneumocephalus

Intracranial wooden foreign bodies are rare. In addition, such objects are difficult to identify with conventional radiographic techniques, such as X-ray radiography or brain computed tomography. A 48-year-old man presented to our emergency room with a headache. Even though he had a history of trauma, he had no external wounds and showed no neurological deficits at the initial examination. He was initially diagnosed with trauma-related pneumocephalus. He developed a delayed intracranial infection and underwent surgery to remove the wooden foreign body. The present case illustrates the necessity for special attention to patients suspected of having pneumocephalus with a rare presentation during the initial examination. Early surgical removal of the intracranial foreign body is necessary to prevent complications.

[1]  A. Faried,et al.  Penetrating skull fracture by a wooden object: Management dilemmas and literature review , 2012, Asian journal of neurosurgery.

[2]  K. Barry,et al.  Radiolucent wooden foreign body masquerading as a depressed skull fracture , 2011, BMJ Case Reports.

[3]  J. Aulino,et al.  Temporal lobe intraparenchymal retained foreign body from remote orbital trauma. , 2005, AJNR. American journal of neuroradiology.

[4]  Y. Hirashima,et al.  A case of delayed brain abscess due to a retained intracranial wooden foreign body: a case report and review of the last 20 years , 2004, Acta Neurochirurgica.

[5]  M. Krimmel,et al.  Wooden foreign bodies in facial injury: a radiological pitfall. , 2001, International journal of oral and maxillofacial surgery.

[6]  R. Dalley,et al.  Intraorbital wood foreign bodies on CT: use of wide bone window settings to distinguish wood from air. , 1995, AJR. American journal of roentgenology.

[7]  M. Jalali,et al.  Orbitocranial wooden foreign body diagnosed by magnetic resonance imaging. Dry wood can be isodense with air and orbital fat by computed tomography. , 1992, Survey of ophthalmology.

[8]  R. Saunders,et al.  Penetrating intracranial wood wounds: clinical limitations of computerized tomography. , 1988, Journal of neurosurgery.

[9]  H. Hacker,et al.  Prognosis, incidence and management of acute traumatic intracranial pneumocephalus , 1986, Acta Neurochirurgica.

[10]  Miller Cf,et al.  The danger of intracranial wood. , 1977 .

[11]  R. G. Berry,et al.  BROKEN PENCIL POINTS AS A CAUSE OF BRAIN ABSCESS. , 1964, The New England journal of medicine.

[12]  B. J. Colombi,et al.  The danger of intracranial wood. , 1977, Surgical neurology.