Neurol Med Chir (Tokyo). 2000 Sep;40(9):458-62.

Intracerebellar penetrating injury and abscess due to a wooden foreign body--case report.

Ishikawa E, Meguro K, Yanaka K, Murakami T, Narushima K, Aoki T, Nose T.

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Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan.

Abstract

A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T2-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.

PMID:: 11021077; [PubMed - indexed for MEDLINE]

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