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Transorbital penetrating head injury by a toilet brush handle

  • Brief Report of a Special Case
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Abstract

Background

Transorbital penetrating brain injuries are rare lesions without defined therapy standards.

Clinical presentation and intervention

A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.

Conclusion

Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.

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Authors and Affiliations

  1. Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany

    M. R. Farhadi, A. W. Unterberg & K. L. Kiening

  2. Department of Ophthalmology, University Hospital Heidelberg, Heidelberg, Germany

    M. Becker

  3. Department of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany

    C. Stippich

Authors
  1. M. R. Farhadi
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  2. M. Becker
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  3. C. Stippich
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  4. A. W. Unterberg
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  5. K. L. Kiening
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Corresponding author

Correspondence to M. R. Farhadi.

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Farhadi, M.R., Becker, M., Stippich, C. et al. Transorbital penetrating head injury by a toilet brush handle. Acta Neurochir 151, 685–687 (2009). https://doi.org/10.1007/s00701-009-0221-9

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  • DOI: https://doi.org/10.1007/s00701-009-0221-9

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