Artikel
Wooden foreign body penetrating transorbital into the temporal lobe
Suche in Medline nach
Autoren
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Stephan Knipping
- ENT, MLU Halle, Halle, Germany
-
Marcus Schoering
- Neurosurgery, Halle, Germany
-
Christian Hohaus
- Neurosurgery, Halle, Germany
| Veröffentlicht: | 8. August 2007 |
|---|
Gliederung
Text
Transorbital penetration by foreign body is a rare but neither unusual injury.
We present a case of a 50 year old male patient with a penetration injury by a 15 cm long wooden foreign body transorbital into the temporal lobe. The piece of wood was removed by the patient himself. The initial CT scans showed the way of the foreign body right through the orbit into the temporal lobe. There was an intracerebral haemorrhage and small remnants of wood could be detected.
Surgical management in interdisciplinary cooperation consisted of a medial decompression of the orbit and the optic nerve by endonasal approach. Following the endonasal procedure a decompression of the temporal lobe by frontopterional craniotomy with removing the intracerebral pieces of the foreign body and the haemorrhage completely were carried out.
No reductions of the visual acuity or neurological deficits were presented after 6 month recovery.
CT scans are the method of choice for localization of foreign bodies. In cases of wood particles, sonography and MRI should be performed. To avoid inflammation, immediate removal of the wooden foreign body is recommended. The surgical team approach has to be chosen in accordance with the localization of the foreign body.
