J Korean Neurotraumatol Soc.
2009 Dec;5(2):103-105. 10.13004/jknts.2009.5.2.103.
Penetrating Orbitocranial Metallic Foreign Body Injury: A Case Report
- Affiliations
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- 1Department of Neurosurgery, Dong-A University College of Medicine, Busan, Korea. kukim@daunet.donga.ac.kr
- KMID: 1427367
- DOI: http://doi.org/10.13004/jknts.2009.5.2.103
Abstract
- Penetrating orbitocranial injury caused by metallic foreign body is uncommon and often cause serious damage without prompt treatment. We present our experience with penetrating orbitocranial injury caused by metallic foreign body and review the outcome of surgical management and prognosis. We report a case of a 52-year-old man who presented with penetrating orbitocranial injury caused by metallic foreign body on his left periorbital area. Artifacts caused by the penetrating metal ring on computed tomography (CT) obscure the actual brain damage along the path of penetration. The patient deteriorated in the emergency room and subsequently received surgical intervention. The present report indicates that good result can be achieved by early diagnosis of intracranial injury and by the removal of foreign body. Based on this experience, we recommend prompt surgical intervention with early CT evaluation to determine the extent of brain damage and surrounding damages.
