Transorbital-transpetrosal penetrating cerebellar injury - Case report

被引:29
作者
Kitakami, A
Kirikae, M
Kuroda, K
Ogawa, A
机构
[1] Senmaya Prefectural Hosp, Div Neurosurg, Senmaya, Iwate 0290803, Japan
[2] Hachinohe Red Cross Hosp, Div Neurosurg, Hachinohe, Aomori, Japan
[3] Iwate Med Univ, Dept Neurosurg, Morioka, Iwate 020, Japan
关键词
penetrating injury; orbit; petrous bone; cerebellar hematoma; cerebral angiography; microneurosurgery;
D O I
10.2176/nmc.39.150
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 4-year-old boy presented with a transorbital-transpetrosal penetrating head injury after a butter knife had penetrated the left orbit. The knife tip reached the posterior fossa after penetrating the petrous bone. Wide craniotomy and the pterional, subtemporal, and lateral suboccipital approaches were performed for safe removal of the object. The patient was discharged with left-sided blindness, complete left ophthalmoplegia, and hypesthesia of the left face, Early angiography is recommended to identify vascular injury which could result in fatal intracranial hemorrhage.
引用
收藏
页码:150 / 152
页数:3
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