دورية أكاديمية
Orbitocranial Low-Velocity Penetrating Injury: A Personal Experience, Case Series, Review of the literature, and Proposed Management Plan.
| العنوان: | Orbitocranial Low-Velocity Penetrating Injury: A Personal Experience, Case Series, Review of the literature, and Proposed Management Plan. |
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| المؤلفون: | Mzimbiri JM; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurosurgery, Muhimbili Orthopedic and Neurosurgical Institute, Dar es salaam, Tanzania., Li J; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China., Bajawi MA; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China., Lan S; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China., Chen F; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China., Liu J; Department of Neurosurgery, Xiangya Hospital of Central South University, Changsha, Hunan, China. Electronic address: 1427822007@qq.com. |
| المصدر: | World neurosurgery [World Neurosurg] 2016 Mar; Vol. 87, pp. 26-34. Date of Electronic Publication: 2015 Dec 24. |
| نوع المنشور: | Case Reports; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York : Elsevier |
| مواضيع طبية MeSH: | Foreign Bodies/*surgery , Head Injuries, Penetrating/*diagnosis , Head Injuries, Penetrating/*surgery , Neurosurgical Procedures/*methods , Orbit/*injuries , Skull/*injuries, Adult ; Brain Injuries/etiology ; Brain Stem/injuries ; Carotid Artery, Internal/pathology ; Cavernous Sinus/injuries ; Cerebral Angiography ; Child, Preschool ; China ; Constriction, Pathologic/diagnostic imaging ; Constriction, Pathologic/etiology ; Fatal Outcome ; Foreign Bodies/complications ; Foreign Bodies/diagnosis ; Glasgow Coma Scale ; Head Injuries, Penetrating/complications ; Head Injuries, Penetrating/etiology ; Head Injuries, Penetrating/pathology ; Humans ; Hypoxia, Brain/etiology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Orbit/surgery ; Skull/surgery ; Tomography, X-Ray Computed ; Treatment Outcome |
| مستخلص: | Background: Orbitocranial penetrating injuries (OPI) are an unfamiliar subset of head injury and are particularly rare in clinical practice. They are usually the result of falls or motor vehicle collisions and occur more commonly in children, who are prone to trauma while playing games improperly. Methods: We present a retrospective review of 5 cases of OPI treated in the Neurotrauma Department at Xiangya Hospital of Central South University in the last 5 years. Also, we performed comprehensive literature searches using Web of Science and the terms "orbitocranial injury," "penetrating ocular trauma," "penetrating orbital trauma," and "transorbital chopstick penetrating injury" to search for presentation, mechanism of injury, and management of transorbital penetrating injury. Results: In 2 patients, there was right internal carotid artery occlusion while in other 2 patients, the penetrating objects reached the brainstem through the cavernous sinus, resulting in orbital apex syndrome. All patients underwent a thorough physical examination followed by diagnostic imaging. The cases were successfully managed surgically by removing the foreign bodies through their trajectories. Conclusions: Computed tomography, magnetic resonance imaging, and computed tomography angiography are key imaging modalities that are frequently used to determine the course of the foreign object and the extent of brain tissue injury as well as to rule out vascular injury in these types of cases. Early surgical exploration by a multidisciplinary team approach is essential to attain good recovery and a favorable outcome. (Copyright © 2016 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Brainstem; Cavernous sinus; Cerebral angiography; Chopstick; ICA occlusion; Orbital apex syndrome; Transorbital penetrating injury |
| تواريخ الأحداث: | Date Created: 20160103 Date Completed: 20160718 Latest Revision: 20161126 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.wneu.2015.12.063 |
| PMID: | 26724632 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-8769 |
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| DOI: | 10.1016/j.wneu.2015.12.063 |