| Title |
Transorbital Intracranial Penetrating Injury from Impaling an on Earpick |
| Creator |
Yamashita, T; Mikami, T; Baba, T; Minamida, Y; Sugino, T; Koyanagi, I; Nonaka, T; Houkin, K |
| Affiliation |
Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan. |
| Abstract |
An inebriated 86-year-old man impaled himself on a wooden earpick that penetrated through the superior orbital fissure into the prepontine cistern. The patient underwent surgery immediately by a lateral suboccipital approach, and the earpick was pulled out through the wound with control of hemorrhage from the cavernous sinus. He survived this event with no neurologic deficits apart from complete ipsilateral ophthalmoplegia and ptosis. Prompt imaging and surgical intervention allowing direct visualization of the foreign body and prevention of intracranial complications are part of proper management of this problem. |
| Subject |
Older people, 80 and over; Eye Foreign Bodies, diagnosis; Eye Foreign Bodies, surgery; Eyelids, injuries; Follow-Up Studies; Head Injuries, Penetrating, diagnosis; Head Injuries, Penetrating, surgery; Humans; Male; Neurosurgical Procedures, methods; Orbit, injuries; Tomography, X-Ray Computed; Trauma Severity Indices |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225630 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6477h01/225630 |
