Transorbital Penetrating Intracranial Injury by a Chopstick.
10.3340/jkns.2012.52.4.414
- Author:
Tae Hee SHIN
1
;
Jong Hoon KIM
;
Kyung Woo KWAK
;
Seong Ho KIM
Author Information
1. Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea. shkim@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Penetrating;
Foreign body;
Orbit;
Craniocerebral trauma
- MeSH:
Adult;
Craniocerebral Trauma;
Eye;
Eyelids;
Foreign Bodies;
Hand;
Humans;
Hypesthesia;
Occipital Bone;
Orbit;
Physical Examination;
Plastics;
Skull
- From:Journal of Korean Neurosurgical Society
2012;52(4):414-416
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 38-year-old man fell from a chair with a chopstick in his hand. The chopstick penetrated his left eye. He noticed pain, swelling, and numbness around his left eye. On physical examination, a linear wound was noted at the medial aspect of the left eyelid. Noncontrast computed tomography (CT) study showed a linear hypodense structure extending from the medial aspect of the left orbit to the occipital bone, suggesting a foreign body. This foreign body was hyperdense relative to normal parenchyma. From a CT scan with 3-dimensional reconstruction, the foreign body was found to be passing through the optic canal into the cranium. The clear plastic chopstick was withdrawn without difficulty. The patient was discharged home 3 weeks after his surgery. A treatment plan for a transorbital penetrating injury should be determined by a multidisciplinary team, with input from neurosurgeons and ophthalmologists.
