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Transorbital orbitocranial penetrating injury: A case report

Abstract

Background: Transorbital intracranial injury is uncommon, representing 0.04% of penetrating head trauma with a high mortality rate. Orbital penetrating injuries may cause severe brain injury if the cranium is entered, typically via the orbital roof, the superior orbital fissure, or the optic canal. A 20-year-old male sustained a mild brain injury due to penetration of the left orbit with a motorcycle rearview mirror. The motorcycle rearview mirror entered the inferior medial aspect of the orbit. Neurological examination GCS 15, with reactive pupils.

Case presentation: In this case report, we discuss the radiologic diagnosis and surgical management of transorbital orbitocranial injury by foreign body penetration. The motorcycle rearview mirror followed an intracranial frontal base trajectory. The patient underwent an immediate craniotomy exploration with removal of motorcycle rearview mirror.

Conclusion: CT is necessary to evaluate the trajectory of the object, the intracranial structures involved and to predict possible complications. Angiography is advocated to evaluate cerebrovascular injuries in penetrating head trauma. Kieck and Villiers described 11 vascular lesions in 18 patients after penetrating transorbital injuries.

Keywords: Motorcycle rearview mirror, orbit, orbitocranial injury, penetrating trauma

How to Cite

Harahap, A. R., Ningsih, H. L., & Saanin, S. (2024). Transorbital orbitocranial penetrating injury: A case report. Indonesian Journal of Neurosurgery, 7(1), 39–41. https://doi.org/10.15562/ijn.v7i1.268

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Ade Ricky Harahap
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IJN Journal


Hesty Lidya Ningsih
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Syaiful Saanin
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IJN Journal