Transorbital nonmissile penetrating brain injury: Report of two cases.

Abstract:

BACKGROUND:Penetrating brain injury (PBI) is an uncommon emergency in neurosurgery, and transorbital PBI is a rare type of PBI. Reasonable surgical planning and careful postoperative management can improve the prognosis of patients. CASE SUMMARY:The first case is a 68-year-old male patient who was admitted to the hospital because a branch punctured his brain through the orbit for approximately 9 h after he unexpectedly fell while walking. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient was able to follow instructions at a 4-mo follow-up review. The other case is a 46-year-old male patient who was admitted to the hospital due to an intraorbital foreign body caused by a car accident, after which the patient was unconscious for approximately 6 h. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient could correctly answer questions at a 3-mo follow-up review. CONCLUSION:Transorbital PBI is a rare and acute disease. Early diagnosis, surgical intervention, and application of intravenous antibiotics can improve the prognosis and quality of life of patients.

journal_name

World J Clin Cases

authors

Xue H,Zhang WT,Wang GM,Shi L,Zhang YM,Yang HF

doi

10.12998/wjcc.v8.i2.471

subject

Has Abstract

pub_date

2020-01-26 00:00:00

pages

471-478

issue

2

issn

2307-8960

journal_volume

8

pub_type

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