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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

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.

Keywords

Traumatic brain injury Foreign body Intraoperative CT 

References

  1. 1.
    Brain Trauma Foundation Aaons, Joint Section on Neurotrauma and Critical Care (2007) Guidelines for the management of severe head injury. J Neurotrauma 24:1–95 doi: 10.1089/neu.2006.0209 CrossRefGoogle Scholar
  2. 2.
    Heininger AD, Will BE, Krueger WA, Kottler BM, Unertl KE, Stark M (2004) Detection and identification of the pathogenic cause of a brain abscess by molecular genetic methods. Anaesthesist 53:830–835 doi: 10.1007/s00101-004-0729-6 PubMedCrossRefGoogle Scholar
  3. 3.
    Lin HL, Lee HC, Cho DY (2007) Management of transorbital brain injury. J Chin Med Assoc 70:36–38PubMedCrossRefGoogle Scholar
  4. 4.
    Matsuyama T, Okuchi K, Nogami K, Hata M, Murao Y (2001) Transorbital penetrating injury by a chopstick—case report. Neurol Med Chir (Tokyo) 41:345–348 doi: 10.2176/nmc.41.345 CrossRefGoogle Scholar

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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