Penetrating intracranial wooden object: Case report and review of CT morphology, complications, and management

被引:14
作者
Arunkumar, MJ [1 ]
Selvapandian, S [1 ]
Rajshekhar, V [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Neurol Sci, Vellore 632004, Tamil Nadu, India
来源
SURGICAL NEUROLOGY | 1999年 / 51卷 / 06期
关键词
complications; computed tomography; intracranial wood; management;
D O I
10.1016/S0090-3019(99)00029-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND Penetrating intracranial. wooden fragments after vehicular accidents are uncommon. The CT morphology, complications, and management in such cases are quite variable. CASE REPORT A 27-year-old male was seen with a "twig" from a tree embedded firmly just below the right medial canthus after a motorcycle accident. Diagnosis of intracranial penetrating wooden object was made on CT scanning. The wooden stick, which had splintered into two, was extricated through a craniotomy in two operative sessions. However the patient succumbed to septicemia and meningitis on the twelfth day after the accident. CONCLUSIONS The need for prompt extrication of these objects and the causes of high mortality in this condition are discussed. The importance of imaging the intracranial compartment in injuries involving the periorbital region is emphasized.
引用
收藏
页码:617 / 620
页数:4
相关论文
共 16 条
[1]  
BABA M, 1982, Neurological Surgery, V10, P869
[2]   BRAIN-ABSCESS DUE TO BACILLUS-MACERANS FOLLOWING A PENETRATING PERIORBITAL INJURY [J].
BERT, F ;
OUAHES, O ;
LAMBERTZECHOVSKY, N .
JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (07) :1950-1953
[3]  
FALLON M J, 1992, Journal of Emergency Medicine, V10, P439, DOI 10.1016/0736-4679(92)90273-V
[4]  
FUJIMOTO S, 1987, Neurological Surgery, V15, P751
[5]   SELF-INFLICTED ORBITAL AND INTRACRANIAL INJURY WITH A RETAINED FOREIGN-BODY, ASSOCIATED WITH PSYCHOTIC DEPRESSION - CASE-REPORT AND REVIEW [J].
GREENE, KA ;
DICKMAN, CA ;
SMITH, KA ;
KINDER, EJ ;
ZABRAMSKI, JM .
SURGICAL NEUROLOGY, 1993, 40 (06) :499-503
[6]   PENETRATING INTRACRANIAL WOOD WOUNDS - CLINICAL LIMITATIONS OF COMPUTERIZED-TOMOGRAPHY [J].
HANSEN, JE ;
GUDEMAN, SK ;
HOLGATE, RC ;
SAUNDERS, RA .
JOURNAL OF NEUROSURGERY, 1988, 68 (05) :752-756
[7]   COMPUTED-TOMOGRAPHY OF A CRANIAL WOODEN FOREIGN-BODY [J].
HEALY, JF .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1980, 4 (04) :555-556
[8]   COMPUTED-TOMOGRAPHY IN PENETRATING CRANIAL INJURY BY A WOODEN FOREIGN-BODY [J].
JOOMA, R ;
BRADSHAW, JR ;
COAKHAM, HB .
SURGICAL NEUROLOGY, 1984, 21 (03) :236-238
[9]   CT IN A CASE OF INTRACRANIAL PENETRATION OF A PENCIL - A CASE-REPORT [J].
KAISER, MC ;
RODESCH, G ;
CAPESIUS, P .
NEURORADIOLOGY, 1983, 24 (04) :229-231
[10]   PENETRATING CRANIOCEREBRAL INJURIES - REPORT OF 2 UNUSUAL INJURIES [J].
MARKHAM, JW ;
MCCLEVE, DE ;
LYNGE, HN .
JOURNAL OF NEUROSURGERY, 1964, 21 (12) :1095-&