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DOI: 10.1055/s-0042-1748759
Transorbital Intracranial Penetrating Injury from a Homemade Gun: A Case Report
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Abstract
A transorbital intracranial penetrating injury (TOPI) is an unusual traumatic brain injury that requires multidisciplinary management. TOPI may cause traumatic cerebrovascular injury (TCVI) and fatal brain damage with a high mortality rate. Herein, the authors described an 8-year-old male patient who was injured from a handmade gun; a projectile (marble) had penetrated the left frontal base via the left orbit. TOPI caused left anterior cerebral artery compression. A transorbital approach with an intraoperative transcranial approach on standby was performed to remove the foreign body. Postoperative intensive broad-spectrum antibiotics were administrated, and the patient made an uneventful recovery. In summary, TOPI is an uncommon TBI that risks TCVI. Intracranial vascular investigation should be performed before surgical management, and postoperative complications, such as meningitis, brain abscess, and delayed pseudoaneurysm, should be monitored.
Keywords
penetrating brain injury - orbital injury - traumatic cerebrovascular injury - traumatic brain injuryAuthors' contributions
KS: admitted and investigated the case. AT: investigated the case. KS: wrote the case report. AT: wrote and edited the case report. KS: revised, edited, and wrote the case report. All authors read and approved the final manuscript.
Publication History
Article published online:
14 June 2022
© 2022. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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