Acta Neurochirurgica

, 151:685 | Cite as

Transorbital penetrating head injury by a toilet brush handle

  • M. R. Farhadi
  • M. Becker
  • C. Stippich
  • A. W. Unterberg
  • K. L. Kiening
Brief Report of a Special Case



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.


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.


Traumatic brain injury Foreign body Intraoperative CT 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • M. R. Farhadi
    • 1
  • M. Becker
    • 2
  • C. Stippich
    • 3
  • A. W. Unterberg
    • 1
  • K. L. Kiening
    • 1
  1. 1.Department of NeurosurgeryUniversity of HeidelbergHeidelbergGermany
  2. 2.Department of OphthalmologyUniversity Hospital HeidelbergHeidelbergGermany
  3. 3.Department of NeuroradiologyUniversity Hospital HeidelbergHeidelbergGermany

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