Transorbital craniocerebral injury caused by metallic foreign objects
10.5847/wjem.j.1920-8642.2025.058
- Author:
Chongqing Yang
1
Author Information
1. Department of Ophthalmology, the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310016, China
- Publication Type:Other Types
- Keywords:
Transorbital craniocerebral injury;
Glasgow Coma Scale
- From:
World Journal of Emergency Medicine
2025;16(3):277-279
- CountryChina
- Language:English
-
Abstract:
Transorbital craniocerebral injury is a relatively rare type of penetrating head injury that poses a significant threat to the ocular and cerebral structures.[1] The clinical prognosis of transorbital craniocerebral injury is closely related to the size, shape, speed, nature, and trajectory of the foreign object, as well as the incidence of central nervous system damage and secondary complications. The foreign objects reported to have caused these injuries are categorized into wooden items, metallic items,[2-8] and other materials, which penetrate the intracranial region via five major pathways, including the orbital roof (OR), superior orbital fissure (SOF), inferior orbital fissure (IOF), optic canal (OC), and sphenoid wing. Herein, we present eight cases of transorbital craniocerebral injury caused by an unusual metallic foreign body.