Case Report
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Unusual transorbital-penetrating intracranial injury by a metal bar: A case report

Year 2022, Volume: 13 Issue: 1, 4 - 7, 08.03.2022

Hasan Kara Aysegül Bayır Selim Değirmenci Oguz Seckın Ahmet Ak

https://doi.org/10.33706/jemcr.974445

Abstract

Introduction: The orbit has a fine bony structure and represents the most vulnerable structure in the cranium. Therefore, penetrating orbital injuries are often associated with traumatic brain injury. Although transorbital-penetrating intracranial injury is not commonly encountered in emergency medicine practice, this occurrence has the potential to cause severe and fatal brain injury.
Case Report: In this study, we report the case of a 21-year-old male patient presented with an injury to his left orbit, caused by falling while holding a metal bar. A Local examination revealed a perforating injury at the entry location of a metallic bar (S-shaped) that penetrated his left orbit. CT imaging showed the appearance of a metallic foreign body that entered anterior superior to the left orbit, passed into the left half of the frontal sinus, and extended into the intracranial area. The metallic bar was removed by craniotomy. The patient fully recovered and was discharged on postoperative 9th day.
Conclusion: The penetration of foreign bodies through the orbitofrontal region is rare but potentially life-threatening. An emergent surgical initiative is necessary to save the life of the patient. When managed in a timely and efficient manner, the associated mortality and morbidity can be reduced.

Keywords

foreign body penetration transorbital intracranial injury

References

  • 1. Sharma, G, Shekhawat, JS, Sinha VD. A Rare Case of Transorbital Penetrating Intracranial Injury by a Screw. Indian Journal of Neurotrauma 2021; 18(01): 91-2. doi: 10.1055/s-0040-1718241.
  • 2. Lin, HL, Lee, HC, Cho, DY. Management of transorbital brain injury. J Chin Med Assoc 2007; 70(1): 36-8. doi: 10.1016/S1726-4901(09)70299-0. PMID: 17276932.
  • 3. Peek-Asa C, McArthur D, Hovda D, Kraus J. Early predictors of mortality in penetrating compared with closed brain injury. Brain Inj 2001; 15(9): 801-10. doi: 10.1080/02699050010025768. PMID: 11516348.
  • 4. Temple N, Donald C, Skora A, Reed W. Neuroimaging in adult penetrating brain injury: a guide for radiographers. J Med Radiat Sci 2015; 62(2): 122-31. doi: 10.1002/jmrs.101. PMID: 26229677; PMCID: PMC4462984.
  • 5. Prasetyo E, Oley MC, Sumual V, Faruk M. Transorbital-penetrating intracranial injury due to a homemade metal arrow: A case report. Ann Med Surg (Lond) 2020; 57: 183-9. doi: 10.1016/j.amsu.2020.07.049. PMID: 32774851; PMCID: PMC7398978.
  • 6. Arslan M, Eseoğlu M, Güdü BO, Demir I. Transorbital orbitocranial penetrating injury caused by a metal bar. J Neurosci Rural Pract 2012; 3(2): 178-81. doi: 10.4103/0976-3147.98228. PMID: 22865972; PMCID: PMC3409991.
  • 7. Behera SK, Panigrahi S, Mishra SS, Senapati SB. Transorbital penetrating brain injury by a wooden stick: A neuro-ophthalmologic emergency. Asian J Neurosurg 2016; 11(3): 321-2. doi: 10.4103/1793-5482.145092. PMID: 27366283; PMCID: PMC4849325.
  • 8. Robaei D, Fernando GT, Branley MG, MacDonald C. Orbitocranial penetration by a fragment of wood. Med J Aust 2004; 181(6): 329-30. doi: 10.5694/j.1326-5377.2004.tb06302.x. PMID: 15377247.
  • 9. Aras MH, Miloglu O, Barutcugil C, Kantarci M, Ozcan E, Harorli A. Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol 2010; 39(2): 72-8. doi: 10.1259/dmfr/68589458. PMID: 20100917; PMCID: PMC3520196.
  • 10. Awori J, Wilkinson DA, Gemmete JJ, Thompson BG, Chaudhary N, Pandey AS. Penetrating Head Injury by a Nail Gun: Case Report, Review of the Literature, and Management Considerations. J Stroke Cerebrovasc Dis 2017; 26(8): e143-e149. doi: 10.1016/j.jstrokecerebrovasdis.2017.04.004. PMID: 28551290.

Year 2022, Volume: 13 Issue: 1, 4 - 7, 08.03.2022

Hasan Kara Aysegül Bayır Selim Değirmenci Oguz Seckın Ahmet Ak

https://doi.org/10.33706/jemcr.974445

Abstract

References

  • 1. Sharma, G, Shekhawat, JS, Sinha VD. A Rare Case of Transorbital Penetrating Intracranial Injury by a Screw. Indian Journal of Neurotrauma 2021; 18(01): 91-2. doi: 10.1055/s-0040-1718241.
  • 2. Lin, HL, Lee, HC, Cho, DY. Management of transorbital brain injury. J Chin Med Assoc 2007; 70(1): 36-8. doi: 10.1016/S1726-4901(09)70299-0. PMID: 17276932.
  • 3. Peek-Asa C, McArthur D, Hovda D, Kraus J. Early predictors of mortality in penetrating compared with closed brain injury. Brain Inj 2001; 15(9): 801-10. doi: 10.1080/02699050010025768. PMID: 11516348.
  • 4. Temple N, Donald C, Skora A, Reed W. Neuroimaging in adult penetrating brain injury: a guide for radiographers. J Med Radiat Sci 2015; 62(2): 122-31. doi: 10.1002/jmrs.101. PMID: 26229677; PMCID: PMC4462984.
  • 5. Prasetyo E, Oley MC, Sumual V, Faruk M. Transorbital-penetrating intracranial injury due to a homemade metal arrow: A case report. Ann Med Surg (Lond) 2020; 57: 183-9. doi: 10.1016/j.amsu.2020.07.049. PMID: 32774851; PMCID: PMC7398978.
  • 6. Arslan M, Eseoğlu M, Güdü BO, Demir I. Transorbital orbitocranial penetrating injury caused by a metal bar. J Neurosci Rural Pract 2012; 3(2): 178-81. doi: 10.4103/0976-3147.98228. PMID: 22865972; PMCID: PMC3409991.
  • 7. Behera SK, Panigrahi S, Mishra SS, Senapati SB. Transorbital penetrating brain injury by a wooden stick: A neuro-ophthalmologic emergency. Asian J Neurosurg 2016; 11(3): 321-2. doi: 10.4103/1793-5482.145092. PMID: 27366283; PMCID: PMC4849325.
  • 8. Robaei D, Fernando GT, Branley MG, MacDonald C. Orbitocranial penetration by a fragment of wood. Med J Aust 2004; 181(6): 329-30. doi: 10.5694/j.1326-5377.2004.tb06302.x. PMID: 15377247.
  • 9. Aras MH, Miloglu O, Barutcugil C, Kantarci M, Ozcan E, Harorli A. Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol 2010; 39(2): 72-8. doi: 10.1259/dmfr/68589458. PMID: 20100917; PMCID: PMC3520196.
  • 10. Awori J, Wilkinson DA, Gemmete JJ, Thompson BG, Chaudhary N, Pandey AS. Penetrating Head Injury by a Nail Gun: Case Report, Review of the Literature, and Management Considerations. J Stroke Cerebrovasc Dis 2017; 26(8): e143-e149. doi: 10.1016/j.jstrokecerebrovasdis.2017.04.004. PMID: 28551290.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Hasan Kara 0000-0002-3839-7651

Aysegül Bayır 0000-0002-5680-031X

Selim Değirmenci This is me 0000-0002-2402-2912

Oguz Seckın This is me 0000-0001-7609-4152

Ahmet Ak 0000-0002-9617-8772

Early Pub Date March 7, 2022
Publication Date March 8, 2022
Submission Date July 26, 2021
Published in Issue Year 2022 Volume: 13 Issue: 1

Cite

APA Kara, H., Bayır, A., Değirmenci, S., Seckın, O., et al. (2022). Unusual transorbital-penetrating intracranial injury by a metal bar: A case report. Journal of Emergency Medicine Case Reports, 13(1), 4-7. https://doi.org/10.33706/jemcr.974445
AMA Kara H, Bayır A, Değirmenci S, Seckın O, Ak A. Unusual transorbital-penetrating intracranial injury by a metal bar: A case report. Journal of Emergency Medicine Case Reports. March 2022;13(1):4-7. doi:10.33706/jemcr.974445
Chicago Kara, Hasan, Aysegül Bayır, Selim Değirmenci, Oguz Seckın, and Ahmet Ak. “Unusual Transorbital-Penetrating Intracranial Injury by a Metal Bar: A Case Report”. Journal of Emergency Medicine Case Reports 13, no. 1 (March 2022): 4-7. https://doi.org/10.33706/jemcr.974445.
EndNote Kara H, Bayır A, Değirmenci S, Seckın O, Ak A (March 1, 2022) Unusual transorbital-penetrating intracranial injury by a metal bar: A case report. Journal of Emergency Medicine Case Reports 13 1 4–7.
IEEE H. Kara, A. Bayır, S. Değirmenci, O. Seckın, and A. Ak, “Unusual transorbital-penetrating intracranial injury by a metal bar: A case report”, Journal of Emergency Medicine Case Reports, vol. 13, no. 1, pp. 4–7, 2022, doi: 10.33706/jemcr.974445.
ISNAD Kara, Hasan et al. “Unusual Transorbital-Penetrating Intracranial Injury by a Metal Bar: A Case Report”. Journal of Emergency Medicine Case Reports 13/1 (March 2022), 4-7. https://doi.org/10.33706/jemcr.974445.
JAMA Kara H, Bayır A, Değirmenci S, Seckın O, Ak A. Unusual transorbital-penetrating intracranial injury by a metal bar: A case report. Journal of Emergency Medicine Case Reports. 2022;13:4–7.
MLA Kara, Hasan et al. “Unusual Transorbital-Penetrating Intracranial Injury by a Metal Bar: A Case Report”. Journal of Emergency Medicine Case Reports, vol. 13, no. 1, 2022, pp. 4-7, doi:10.33706/jemcr.974445.
Vancouver Kara H, Bayır A, Değirmenci S, Seckın O, Ak A. Unusual transorbital-penetrating intracranial injury by a metal bar: A case report. Journal of Emergency Medicine Case Reports. 2022;13(1):4-7.
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