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Transorbital penetrating cerebral injury caused by a wooden stick: surgical nuances for removal of a foreign body lodged in cavernous sinus

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Abstract

Purpose

Penetrating head injury (PHI) is rare in civilian population and is mostly caused by low-velocity modes. A transorbital penetrating intracranial injury is very rare and more severe than traumatic brain injury.

Methods

We report a rare case of transorbital penetrating cranial injury caused by a wooden stick. The surgical strategy was planned as the wooden stick was lodged in the right cavernous sinus.

Results

The wooden stick was successfully removed. Patient made an uneventful recovery.

Conclusions

Transorbital penetrating injuries are uncommon form of injury and require a multidisciplinary approach. No attempt should be made to remove the foreign body without the backup of an operating room because of the possibility that the object may be tamponading an injured vessel. A careful planning and a strict adherence to basic perioperative principles can lead to a satisfactory outcome.

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Disclosure

The authors have no personal financial or institutional interest in any of the drugs, materials, or devices described in this article. The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Authors and Affiliations

  1. Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

    Sachin Anil Borkar, Kanwaljeet Garg, Mayank Garg & Bhawani Shankar Sharma

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  1. Sachin Anil Borkar
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  2. Kanwaljeet Garg
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  3. Mayank Garg
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  4. Bhawani Shankar Sharma
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Correspondence to Sachin Anil Borkar.

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Borkar, S.A., Garg, K., Garg, M. et al. Transorbital penetrating cerebral injury caused by a wooden stick: surgical nuances for removal of a foreign body lodged in cavernous sinus. Childs Nerv Syst 30, 1441–1444 (2014). https://doi.org/10.1007/s00381-014-2364-0

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  • DOI: https://doi.org/10.1007/s00381-014-2364-0

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