J Korean Neurotraumatol Soc.  2005 Oct;1(1):128-130. 10.13004/jknts.2005.1.1.128.

Brain Abscess Following a Transorbital Penetrating Injury by a Wooden Stick: A Case Report

• Lee HS
• Kim JH
• Kim JH
• Kwon TH
• Chung HS
• Park YK

• KMID: 2192325
• DOI: http://doi.org/10.13004/jknts.2005.1.1.128

Abstract

Transorbital penetrating injury is relatively uncommon. Injury may be initially asymptomatic, but serious events can occur several days, months, or even years after the injury. A 25-month-old male presented with transorbital penetrating injury caused by a ice-cream wooden stick. Initial computed tomography (CT) of the head demonstrated acute subdural hematoma in right frontoparietal lobe with impinged bone fragments and surgical intervention was performed. Postoperative magnetic resonance (MR) imaging taken at 2 weeks after initial operation revealed an abscess cavity in the right frontal lobe, and it was naturally drained from previous supraorbital wound through transorbital fistula. Follow up MR imaging revealed slight decreased size of abscess cavity but there was no further improvement. The abscess was removed by open craniotomy, then the patient discharged without neurological deficit.

Keyword

Abscess; Penetrating brain injury; Drainage

MeSH Terms

Abscess
Brain Abscess*
Brain*
Child, Preschool
Craniotomy
Drainage
Fistula
Follow-Up Studies
Frontal Lobe
Head
Head Injuries, Penetrating
Hematoma, Subdural, Acute
Humans
Magnetic Resonance Imaging
Male
Wounds and Injuries