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Clin Ophthalmol. 2010 Oct 5;4:1103-5. doi: 10.2147/OPTH.S9638.

Surgical treatment of a transorbital penetrating brain injury.

Author information

1
Division of Neurosurgery, Hospital Das Clinicas University of Sao Paulo Medical School, Sao Paulo, Brazil.

Abstract

Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital injury, resulting in meningitis. We performed a combined surgical approach with neurosurgeons and ophthalmogic surgeons. Upon discharge, the patient had a Glasgow Coma Scale score of 15, no motor deficit and no visual loss. We discuss the management of this case and review current literature.

KEYWORDS:

brain trauma; penetrating head trauma; transorbital penetrating brain injury

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