Indian Journal of Neurotrauma 2014; 11(01): 57-60
DOI: 10.1016/j.ijnt.2014.03.002
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

An unusual case of orbito-cranial penetrating injury

Pragyan Sarma
a   Senior Resident, Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore, Karnataka 560029, India
,
Dwarakanath Srinivas
b   Additional Professor, Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore, Karnataka 560029, India
,
Sampath Somanna
c   Professor, Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore, Karnataka 560029, India
› Author Affiliations

Subject Editor:
Further Information

Publication History

07 February 2014

12 March 2014

Publication Date:
06 April 2017 (online)

Abstract

Penetrating orbito-cranial injuries have a potential to cause major mortality and morbidity. They can result due to a variety of numerous intentional or unintentional events. We present a case of a 35-year-old man who came to our emergency services with a penetrating orbito-cranial injury with a knife after an altercation with his friend. He underwent a right fronto temporal craniotomy and the knife was disengaged and removed under direct vision. The patient recovered without any deficits. This case highlights an unusual case, the importance of preoperative radiological imaging and meticulous surgical technique. We also review the available literature.

 
  • References

  • 1 de Villiers J.C.. Sixteen cases of transorbital stab wounds of the head. J Neurol Neurosurg Psychiatry 1975; 38 (08) 822
  • 2 Domenicucci M., Qasho R., Ciappetta P., Vangelista T., Delfini R.. Surgical treatment of penetrating orbito-cranial injuries. Case report. J Neurosurg Sci 1999; 43 (03) 229-234
  • 3 Mitilian D., Charon B., Brunelle F., Di Rocco F.. Removal of a chopstick out of the cavernous sinus, pons, and cerebellar vermis through the superior orbital fissure. Acta Neurochir 2009; 151 (10) 1295-1297
  • 4 Schreckinger M., Orringer D., Thompson B.G., La Marca F., Sagher O.. Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm. J Neurosurg 2011; 114 (01) 53-61
  • 5 MacEwen C.J., Fullarton G.. A penetrating orbitocranial stab wound. Br J Ophthalmol 1986; 70: 147-149
  • 6 Subaşi M., Cakar-Ozdal M.P., Nalcioğlu-Yüksekkaya P., Alakuş A.. Management of an orbitocranial knife injury: a case report. Turk J Pediatr 2012; 54 (02) 184-186
  • 7 De Villiers J.C., Sevel D.. Intracranial complications of transorbital stab wounds. Br J Ophthalmol 1975; 59 (01) 52-56