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.
MeSH terms
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Accidental Falls
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Brain / diagnostic imaging
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Brain / pathology
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Brain / surgery
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Brain Abscess / diagnostic imaging
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Brain Abscess / etiology
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Brain Abscess / pathology
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Brain Injuries / diagnostic imaging
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Brain Injuries / etiology
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Brain Injuries / pathology*
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Cerebral Hemorrhage, Traumatic / diagnostic imaging
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Cerebral Hemorrhage, Traumatic / prevention & control
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Cerebral Hemorrhage, Traumatic / surgery
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Craniotomy
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Decompression, Surgical
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Disability Evaluation
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Epilepsy / complications
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Foreign Bodies / diagnostic imaging
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Foreign Bodies / pathology*
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Foreign Bodies / surgery
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Head Injuries, Penetrating / diagnostic imaging
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Head Injuries, Penetrating / etiology
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Head Injuries, Penetrating / pathology*
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Humans
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Intraoperative Complications / diagnostic imaging
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Intraoperative Complications / etiology
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Intraoperative Complications / prevention & control
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Male
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Middle Aged
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Monitoring, Intraoperative / methods*
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Orbital Fractures / diagnostic imaging
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Orbital Fractures / etiology
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Orbital Fractures / pathology*
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Tomography, X-Ray Computed / methods*
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Treatment Outcome