CC BY 4.0 · Surg J (N Y) 2016; 02(02): e42-e45
DOI: 10.1055/s-0036-1584170
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Car Windshield Wiper in the Brain: Case Report

Zhenpeng Liu
1   Shandong University, School of Medicine, Jinan, Shandong, China
,
Xianzeng Hou
2   Department of Neurosurgery, Qianfoshan Hospital Affiliated to Shandong University, Jinan, China
,
Xiaoyong Fan
2   Department of Neurosurgery, Qianfoshan Hospital Affiliated to Shandong University, Jinan, China
,
Yuanyuan Hu
1   Shandong University, School of Medicine, Jinan, Shandong, China
,
Guangcun Liu
1   Shandong University, School of Medicine, Jinan, Shandong, China
› Author Affiliations
Further Information

Publication History

07 November 2015

31 March 2016

Publication Date:
10 June 2016 (online)

Abstract

Background Transorbital intracranial penetrating injury is rare. Damage caused by a huge metallic foreign body is very critical and life-threatening.

Method We report an extremely rare case of transorbital intracranial penetrating metal strip (a car windshield wiper), which has not previously been reported in the literature.

Results Emergency craniotomy was performed; the object was removed successfully, and the patient's life was saved.

Conclusion With the life-threatening penetrating brain injury caused by a huge foreign body, prompt surgical treatment and comprehensive postoperative treatment are important to save patients' lives.

 
  • References

  • 1 Seex K, Koppel D, Fitzpatrick M, Pyott A. Trans-orbital penetrating head injury with a door key. J Craniomaxillofac Surg 1997; 25 (06) 353-355
  • 2 Caldicott DGE, Pearce A, Price R, Croser D, Brophy B. Not just another “head lac” . . . low-velocity, penetrating intra-cranial injuries: a case report and review of the literature. Injury 2004; 35 (10) 1044-1054
  • 3 Musa BS, Simpson BA, Hatfield RH. Recurrent self-inflicted craniocerebral injury: case report and review of the literature. Br J Neurosurg 1997; 11 (06) 564-569
  • 4 Chibbaro S, Tacconi L. Orbito-cranial injuries caused by penetrating non-missile foreign bodies. Experience with eighteen patients. Acta Neurochir (Wien) 2006; 148 (09) 937-941 , discussion 941–942
  • 5 Liu HC, Qiu E, Zhang TM, Zhao JW, Song WX, Fu JD. [Neurosurgical therapy of transorbital intracranial foreign bodies: review of 28 cases]. Zhonghua Yi Xue Za Zhi 2008; 88 (25) 1737-1741
  • 6 Taylor AG, Peter JC. Patients with retained transcranial knife blades: a high-risk group. J Neurosurg 1997; 87 (04) 512-515
  • 7 Koh WY, Lew TW, Chin NM, Wong MF. Tracheostomy in a neuro-intensive care setting: indications and timing. Anaesth Intensive Care 1997; 25 (04) 365-368
  • 8 Möller MG, Slaikeu JD, Bonelli P, Davis AT, Hoogeboom JE, Bonnell BW. Early tracheostomy versus late tracheostomy in the surgical intensive care unit. Am J Surg 2005; 189 (03) 293-296
  • 9 Schreckinger M, Orringer D, Thompson BG, 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