Transorbital penetrating brain injury by a wooden stick: A neuro-ophthalmologic emergency

Accidental penetrating brain injury through transorbital route is an unusual occurrence in emergency practice of civilian cases. At time, it could be potentially life threatening. We report an interesting case of transorbital penetrating brain injury with a wooden stick in a 44-year-old male epileptic patient. The stick was removed successfully through transorbital exploration, without any neurovascular complications. The pertinent literature is reviewed and emergent management of such cases is discussed.

[1]  W. Paiva,et al.  Transorbital stab penetrating brain injury. Report of a case. , 2009, Annali italiani di chirurgia.

[2]  G. Klug,et al.  Delayed presentation of transorbital intracranial pen , 2000, Journal of Clinical Neuroscience.

[3]  R. Delfini,et al.  Surgical treatment of penetrating orbito-cranial injuries. Case report. , 1999, Journal of Neurosurgical Sciences.

[4]  K. Kuroda,et al.  Transorbital-transpetrosal penetrating cerebellar injury--case report. , 1999, Neurologia medico-chirurgica.

[5]  D. Koppel,et al.  Trans-orbital penetrating head injury with a door key. , 1997, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[6]  J. Delashaw,et al.  Transorbital penetrating head injury with a hunting arrow: case report. , 1994, Surgical neurology.

[7]  D. Cho,et al.  Management of transorbital brain injury. , 2007, Journal of the Chinese Medical Association : JCMA.