scholarly journals Case Report: Transorbital approach for the management of an orbito-temporal penetrating brain injury (skull base region) secondary to wooden spikes

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1283
Author(s):  
Tedy Apriawan ◽  
Abdul Hafid Bajamal ◽  
Ditto Darlan ◽  
Yusriandi Ramadhan
Keyword(s):  
Brain Injury ◽  
Foreign Body ◽  
Magnetic Resonance ◽  
Petrous Bone ◽  
Primary Treatment ◽  
Surgical Approaches ◽  
Penetrating Brain Injury ◽  
Body Location ◽  
The Right ◽  
Base Of The Skull

Background and importance: Transorbital penetrating brain injury (PBI) due to a non-projectile foreign body is rare. It can lead to life-threatening severe neurovascular damage. Surgery is the primary treatment choice; however, there are a number of approaches that can be considered based on the patient's condition in terms of foreign body location and state of the patient. Clinical presentation: An 18-year-old male carpenter was hit by a log and sustained transorbital PBI while cutting wood with a machine. Computed tomography (CT) scan showed a wooden spike that was approximately 11 cm from the left medial orbital to the superior part of the posterolateral of the petrous bone, crossing the right side at the base of the skull. CT angiography (CTA), magnetic resonance angiography (MRA), and magnetic resonance venography (MRV) revealed no internal carotid artery (ICA) and cavernous sinus lesions, respectively. We had a 3D-printed model for preoperative planning, and surgery was performed using a transorbital approach to extract the wood 14 days after the accident. The impacted wood was removed without any complications. Conclusion: There are many surgical approaches for transorbital PBI. We decided to perform the transorbital approach because it is perpendicular to the entry zone. Surgeons should consistently perform minimally invasive procedures based on the clinical and radiological findings.

scholarly journals Intraorbital wooden foreign body detected by computed tomography and magnetic resonance imaging

2016 ◽  
Vol 30 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Alfredo Di Gaeta ◽  
Francesco Giurazza ◽  
Eugenio Capobianco ◽  
Alvaro Diano ◽  
Mario Muto
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Magnetic Resonance ◽  
Delayed Diagnosis ◽  
Clinical History ◽  
Definitive Diagnosis ◽  
Double Vision ◽  
Resonance Imaging ◽  
Wooden Foreign Body ◽  
The Right

To identify and localize an intraorbital wooden foreign body is often a challenging radiological issue; delayed diagnosis can lead to serious adverse complications. Preliminary radiographic interpretations are often integrated with computed tomography and magnetic resonance, which play a crucial role in reaching the correct definitive diagnosis. We report on a 40 years old male complaining of pain in the right orbit referred to our hospital for evaluation of eyeball pain and double vision with an unclear clinical history. Computed tomography and magnetic resonance scans supposed the presence of an abscess caused by a foreign intraorbital body, confirmed by surgical findings.

scholarly journals Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Emergency Tracheostomy ◽  
Body Location ◽  
The Right ◽  
High Index Of Suspicion ◽  
Tamale Teaching Hospital ◽  
Nose And Throat

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

scholarly journals A foreign body lodged in the sub-mental space through to the retro-pharyngeal area: a review of anatomical risks and surgical approaches

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kaoutar Cherrabi ◽  
Zouheir Zaki ◽  
Mohamed Noureddine El Alami
Keyword(s):  
Foreign Body ◽  
Head And Neck ◽  
Oral Exam ◽  
Surgical Approaches ◽  
Case Presentation ◽  
Cervical Approach ◽  
Angio Ct ◽  
The Right ◽  
Pharyngeal Area ◽  
Base Of The Tongue

Abstract Background Foreign body inclusions are rare in head and neck. They are challenging in regard to anatomical risks and surgical approaches. This is the case of a particular foreign body with a curious trajectory, associated with a brief review of anatomical risks and surgical approaches. Case presentation This is the case of a 25-year-old male who has been attacked with a sharp object, which caused an inclusion of a part of the foreign body in the sub-mental and pharyngeal areas. The clinical exam showed a painful bulging in the sub-mental area, with moderately hemorrhagic sputum and difficulty while swallowing. The intra-oral exam showed a foreign body that was located at the right side of the base of the tongue, and which goes backwards and outwards to penetrate retro-pharyngeal mucosa. The patients underwent an angio-CT scan, which showed a curious fine and sharp metallic object, without direct signs of lesions to the jugular vein or carotid artery or any collateral branches. The patient underwent extraction through cervical approach, with satisfying bleeding control. Intra-oral exploration showed a retro-pharyngeal lesion of 2 cm, without particular bleeding. The cervical lesion and retro-pharyngeal lesions were closed. The lesion at the base of the tongue was of 1 cm, palpable but not accessible to sutures, and a naso-pharyngeal tube was inserted. The patient presented very satisfying post-operative outcome, without any complications. Conclusion When dealing with foreign bodies of head and neck, physicians must be precocious and prepared for the risk of bleeding after extraction. Thorough radiological exploration is necessary as long as the patient is stable. Direct and indirect radiological signs allow the clinician to understand the nature and the trajectory of the object, as well as the damage to collateral structures.

Self-inflicted nail-gun injury with 12 cranial penetrations and associated cerebral trauma

2006 ◽  
Vol 104 (5) ◽  
pp. 828-834 ◽  
Author(s):  
Zachary N. Litvack ◽  
Matthew A. Hunt ◽  
Jason S. Weinstein ◽  
G. Alexander West
Keyword(s):  
Brain Injury ◽  
Clinical Decision Making ◽  
Relevant Literature ◽  
Ct Scanning ◽  
Clinical Decision ◽  
Middle Meningeal Artery ◽  
Common Mechanism ◽  
Penetrating Brain Injury ◽  
Rational Management ◽  
The Right

✓ In this case report, the authors describe a 33-year-old man who presented with headache due to the presence of 12 nail-gun nails impacted in his cranium and cerebral parenchyma. The authors also review the relevant literature regarding penetrating brain injury. The patient's physical examination revealed a Glasgow Coma Scale score of 15 and impairment of abduction of the right eye and abduction of the jaw producing dysarthria; the remaining results of the neurological examination were normal. Both x-ray films and computerized tomography (CT) scans of the head revealed the presence of 12 nails, the majority of which were located intracranially. A scattering artifact limited the ability of CT scanning to demonstrate any intracranial hemorrhage. Angiography did not demonstrate any evidence of traumatic vascular injury. After general anesthesia had been induced in the patient, the nails were removed in the operating room. Following removal of the final nail, a small left temporal craniotomy was performed to control hemorrhage from a tear in the left middle meningeal artery. Despite the development of a postoperative insular hematoma, the patient was discharged home with minimal deficits. This patient is the only known survivor of the largest number of foreign objects (12) to penetrate the skull intentionally. Overall, self-inflicted nail-gun injuries are less common than accidental discharges. A review of the literature, however, suggests that for penetrating brain injury, self-infliction is the more common mechanism. For those patients who survive such an injury, clinical decision making must focus on preventing further cortical or vascular damage. A rational management strategy should permit these patients to be discharged with no additional injury.

scholarly journals Nail Biting as a Cause of Appendicitis

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Michael Pagacz ◽  
Philip Bao ◽  
Juan Carlos Alvarez Moreno ◽  
Lydia Howard
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Acute Appendicitis ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Primary Treatment ◽  
Lower Quadrant ◽  
Nail Biting ◽  
Periappendiceal Abscess ◽  
The Right

Ingestion of a foreign body is commonly encountered in clinical practice, but most cause no complications, passing spontaneously through the gastrointestinal tract. However, they can cause obstructive signs and symptoms, and surgical intervention for extraction of the foreign body may be required after identifying its location. We present here the case of a 49-year-old woman who presented to our emergency room with abdominal pain localizing to the right lower quadrant. Evaluation was most consistent with acute appendicitis, and she underwent uncomplicated appendectomy. A keratin nail with Actinomyces was identified in her appendix. Foreign bodies in the appendix can cause simple appendicitis, perforation, periappendiceal abscess, and peritonitis. Regardless of etiology, an appendectomy often ends up the primary treatment, but unusual and rare causes are worth noting if only for the clinician to be aware of when evaluating the next patient with abdominal pain and considering treatment options or future prevention. Our case is an example of a rare scenario in which an Actinomyces-contaminated human nail lodged in the appendix of a woman eventually resulting in acute appendicitis.

Elevation of the Petrous Bone Caused by Hyperplasia of the Occipital Bone Presenting as Hemifacial Spasm: Diagnostic Values of Magnetic Resonance Imaging and Three-Dimensional Computed Tomographic Images in a Bone Anomaly

Neurosurgery ◽  
1990 ◽  
Vol 27 (6) ◽  
pp. 1004-1009 ◽  
Author(s):  
Akira Tanaka ◽  
Tatsuroh Tanaka ◽  
Yutaka Irie ◽  
Shinya Yoshinaga ◽  
Masamichi Tomonaga
Keyword(s):  
Magnetic Resonance ◽  
Hemifacial Spasm ◽  
Three Dimensional ◽  
Petrous Bone ◽  
Magnetic Resonance Images ◽  
Occipital Bone ◽  
Tomographic Images ◽  
Computed Tomographic ◽  
Diagnostic Values ◽  
The Right

Abstract A case of elevation of the petrous bone due to hyperplasia of the occipital bone presenting as hemifacial spasm is reported. A 44-year-old man sought treatment for twitching of the buccal muscles on the right side that progressed rapidly in severity within 2 weeks of the onset. The anatomical details of the petrous and occipital bones were delineated clearly by computed tomographic scans of a bone window level. Details of the brain stem were shown by magnetic resonance images. The bone anomaly was displayed more realistically by three-dimensional computed tomographic reconstructions. The faithful representation of structures with these radiological studies should be mandatory, to prepare the surgical planning of such a complicated bone anomaly.

scholarly journals Imaging characteristics and treatment of a penetrating brain injury caused by an oropharyngeal foreign body in a dog

2017 ◽  
Vol 60 (3) ◽  
pp. E24-E28 ◽  
Author(s):  
Jennifer McKenzie ◽  
Megan Cooper Murphy ◽  
Cameron Broome ◽  
Hamaseh Tayari ◽  
Rodrigo Gutierrez‐Quintana
Keyword(s):  
Brain Injury ◽  
Foreign Body ◽  
Penetrating Brain Injury ◽  
Imaging Characteristics

scholarly journals Characteristics of wooden intraocular foreign body by magnetic resonance imaging in rabbits

2018 ◽  
Vol 46 (11) ◽  
pp. 4717-4721
Author(s):  
Baohong Wen ◽  
Jingliang Cheng ◽  
Huixia Zhang ◽  
Yong Zhang ◽  
Xiaonan Zhang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Foreign Body ◽  
Magnetic Resonance ◽  
Intraocular Foreign Body ◽  
Proton Density ◽  
Resonance Imaging ◽  
Integrated Diagnosis ◽  
Mri Sequences ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Objective Intraocular foreign body (IOFB), a frequent cause of ocular trauma, causes serious damage to the eyes. This study was designed to elaborate and compare the characteristics of different magnetic resonance imaging (MRI) sequences in detecting wooden IOFBs in rabbits. Methods The right vitreous of 24 healthy rabbits was randomly implanted with diverse wooden foreign bodies (diameter φ = 0.2 mm). The T1-weighted imaging (T1WI), T2-weighted imaging (T2WI), proton density-weighted imaging (PDWI), and susceptibility-weighted imaging (SWI) sequences were applied individually 2 weeks after the implantation. Results IOFBs were detected as linear low signals on T1WI, T2WI, PDWI, and SWI (SWI image). The detectable rates of poplar wood with a length of 0.5 mm were 0%, 50%, 0%, and 67% for T1WI, T2WI, PDWI, and SWI, respectively. SWI and T2WI sequences exhibited higher sensitivity than T1WI and PDWI. The detectable rates of the first three SWI sequences (magnitude, phase, and SWI) were all 67%, which was higher than that of the minimum intensity projection sequence (33%). Conclusion MRI is practicable in the diagnosis of wooden IOFBs. SWI and T2WI are optimal for the integrated diagnosis of wooden IOFBs and could be used for diagnosis and immediate treatment.

scholarly journals Complex neuroimaging of traumatic brain injury: Magnetic resonance imaging

2020 ◽  
Vol 5 (4) ◽  
pp. 239-244
Author(s):  
A. V. Yarikov ◽  
I. A. Lobanov ◽  
V. A. Leonov ◽  
A. P. Fraerman ◽  
S. V. Nikolenko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Magnetic Resonance ◽  
Diffusion Tensor ◽  
Resonance Imaging ◽  
Correct Treatment ◽  
Advantages And Disadvantages ◽  
Neurosurgical Treatment ◽  
The Right

Traumatic brain injury is one of the most frequent types of injuries and ranks first among the causes of mortality and disability of the working population. The timely diagnosis of brain damage is one of the ways of improving the quality of emergency neurosurgical treatment of severe traumatic brain injury. Choosing the right diagnostic method allows you to assess the volume, severity of the injury and apply the correct treatment tactics. This paper describes in detail the special methods of magnetic resonance imaging used in the diagnosis of traumatic brain injury (MR cisternography, perfusion MRI, MR spectroscopy, diffusion-weighted and diffusion tensor MRI). The diagnostic capabilities, advantages and disadvantages of each method are discussed.

scholarly journals A Case of Impalement Brain Injury That Could Achieve Good Neurological Outcome by Introducing Early Sedation and Immobilization Strategy

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Wataru Takayama ◽  
Kaho Yamasaki ◽  
Akira Endo ◽  
Yasuhiro Otomo
Keyword(s):  
Brain Injury ◽  
Foreign Body ◽  
Vital Signs ◽  
Neurological Deficits ◽  
Secondary Brain Injury ◽  
Related Complication ◽  
Imaging Evaluation ◽  
Initial Management ◽  
Major Vessel ◽  
The Right

Impalement brain injury is rare, and the initial management of this condition is not well-established. We present a case of a well-managed brain injury caused by impalement with a metal bar. A 29-year-old man whose head had been impaled by a metal bar was transferred to our hospital. Upon arrival, he was agitated, with an unsteady gait and prominent odor of alcohol on his breath. He exhibited normal vital signs and neurological findings, except for his level of consciousness. To address the risk of secondary brain injury caused by movement of the foreign body, we immediately administered a sedative agent and muscle relaxant after the initial neurological evaluation. The imaging evaluation revealed the insertion of a metal bar into the right frontal lobe at a depth of >100 mm through the frontal bone; however, there was no apparent major vessel injury-related complication. Three hours after arrival at the hospital, a craniotomy was performed to remove the foreign body. The patient’s postoperative course was uneventful, and he was discharged after rehabilitation without any neurological deficits. The strategy of immediate immobilization to prevent the secondary brain injury is important in the initial management of a patient who has survived an impalement brain injury and presented to an emergency department.

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