Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
محل انتشار: مجله جراحی مغز و اعصاب ایران، دوره: 7، شماره: 1
سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 124
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شناسه ملی سند علمی:
JR_IJN-7-1_008
تاریخ نمایه سازی: 9 شهریور 1400
چکیده مقاله:
Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and to raise awareness among the general population on the importance of preventing violent behavior.
Case Presentation: A ۳۳-year-old man was a victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial part of the orbit. Neurological examination was normal, and Computed Tomography (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications. The patient reported spectacular improvement in visual acuity without
neurological or oculomotor deficit at long-term follow-up. In this case report, we will discuss the radiological diagnosis and surgical management of transorbital and orbitocranial injuries by foreign body penetration.
Conclusion: Urgent multidisciplinary management in orbitocranial trauma by stabbing is mandatory to avoid life-threatening complications and irreversible damages.
کلیدواژه ها:
نویسندگان
Youssef Fahde
Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco
Davis Mpando
Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco
Mehdi Laghmari
Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco
Houssine Ghannane
Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco
Said Aitbenali
Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco