TY  - JOUR
PY  - 2012//
TI  - Transorbital orbitocranial penetrating injury caused by a metal bar
JO  - Journal of neurosciences in rural practice
A1  - Arslan, Mehmet
A1  - Eseoğlu, Metehan
A1  - Güdü, Burhan Oral
A1  - Demir, Ismail
SP  - 178
EP  - 181
VL  - 3
IS  - 2
N2  - Transorbital intracranial injury is uncommon, representing 0.04% of penetrating head trauma with a high mortality rate. Orbital penetrating injuries may cause severe brain injury if the cranium is entered, typically via the orbital roof, the superior orbital fissure, or the optic canal. A 13-year-old male sustained a severe brain injury due to penetration of the right orbit with an iron bar. The bar entered the inferiomedial aspect of the orbit and emerged from the left occipital bone. Neurological examination revealed deep coma (GCS: E1M2V1) with fixed, dilated, and non-reactive pupils. The bar followed an intracranial trajectory, through the third ventricle and suprasellar cistern. The patient underwent an immediate exploration with removal of the bar. Unfortunately, he died 10 days postoperatively due to severe diencephalic injury with brainstem herniation. In this case report, we discuss the radiologic diagnosis and surgical management of transorbital orbitocranial injury by foreign body penetration.<p />  <p>Language: en</p>
LA  - en
SN  - 0976-3147
UR  - http://dx.doi.org/10.4103/0976-3147.98228
ID  - ref1
ER  -