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Transorbital penetrating head injury by a toilet brush handle
Background Transorbital penetrating brain injuries are rare lesions without defined therapy standards. Clinical presentation and intervention A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right o...
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| Published in: | Acta neurochirurgica 2009-06, Vol.151 (6), p.685-687 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c401t-11cb823f6083681370fd444cf31f5b69ad323472a0e8692b31696145312689373 |
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| cites | cdi_FETCH-LOGICAL-c401t-11cb823f6083681370fd444cf31f5b69ad323472a0e8692b31696145312689373 |
| container_end_page | 687 |
| container_issue | 6 |
| container_start_page | 685 |
| container_title | Acta neurochirurgica |
| container_volume | 151 |
| creator | Farhadi, M. R. Becker, M. Stippich, C. Unterberg, A. W. Kiening, K. L. |
| description | Background
Transorbital penetrating brain injuries are rare lesions without defined therapy standards.
Clinical presentation and intervention
A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.
Conclusion
Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding. |
| doi_str_mv | 10.1007/s00701-009-0221-9 |
| format | article |
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Transorbital penetrating brain injuries are rare lesions without defined therapy standards.
Clinical presentation and intervention
A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.
Conclusion
Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-009-0221-9</identifier><identifier>PMID: 19255713</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Accidental Falls ; Brain - diagnostic imaging ; Brain - pathology ; Brain - surgery ; Brain Abscess - diagnostic imaging ; Brain Abscess - etiology ; Brain Abscess - pathology ; Brain Injuries - diagnostic imaging ; Brain Injuries - etiology ; Brain Injuries - pathology ; Brief Report of a Special Case ; Cerebral Hemorrhage, Traumatic - diagnostic imaging ; Cerebral Hemorrhage, Traumatic - prevention & control ; Cerebral Hemorrhage, Traumatic - surgery ; Craniotomy ; Decompression, Surgical ; Disability Evaluation ; Epilepsy - complications ; Foreign Bodies - diagnostic imaging ; Foreign Bodies - pathology ; Foreign Bodies - surgery ; Head Injuries, Penetrating - diagnostic imaging ; Head Injuries, Penetrating - etiology ; Head Injuries, Penetrating - pathology ; Humans ; Interventional Radiology ; Intraoperative Complications - diagnostic imaging ; Intraoperative Complications - etiology ; Intraoperative Complications - prevention & control ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgery ; Monitoring, Intraoperative - methods ; Neurology ; Neuroradiology ; Neurosurgery ; Orbital Fractures - diagnostic imaging ; Orbital Fractures - etiology ; Orbital Fractures - pathology ; Surgical Orthopedics ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>Acta neurochirurgica, 2009-06, Vol.151 (6), p.685-687</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-11cb823f6083681370fd444cf31f5b69ad323472a0e8692b31696145312689373</citedby><cites>FETCH-LOGICAL-c401t-11cb823f6083681370fd444cf31f5b69ad323472a0e8692b31696145312689373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19255713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farhadi, M. R.</creatorcontrib><creatorcontrib>Becker, M.</creatorcontrib><creatorcontrib>Stippich, C.</creatorcontrib><creatorcontrib>Unterberg, A. W.</creatorcontrib><creatorcontrib>Kiening, K. L.</creatorcontrib><title>Transorbital penetrating head injury by a toilet brush handle</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Transorbital penetrating brain injuries are rare lesions without defined therapy standards.
Clinical presentation and intervention
A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.
Conclusion
Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.</description><subject>Accidental Falls</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - pathology</subject><subject>Brain - surgery</subject><subject>Brain Abscess - diagnostic imaging</subject><subject>Brain Abscess - etiology</subject><subject>Brain Abscess - pathology</subject><subject>Brain Injuries - diagnostic imaging</subject><subject>Brain Injuries - etiology</subject><subject>Brain Injuries - pathology</subject><subject>Brief Report of a Special Case</subject><subject>Cerebral Hemorrhage, Traumatic - diagnostic imaging</subject><subject>Cerebral Hemorrhage, Traumatic - prevention & control</subject><subject>Cerebral Hemorrhage, Traumatic - surgery</subject><subject>Craniotomy</subject><subject>Decompression, Surgical</subject><subject>Disability Evaluation</subject><subject>Epilepsy - complications</subject><subject>Foreign Bodies - diagnostic imaging</subject><subject>Foreign Bodies - pathology</subject><subject>Foreign Bodies - surgery</subject><subject>Head Injuries, Penetrating - diagnostic imaging</subject><subject>Head Injuries, Penetrating - etiology</subject><subject>Head Injuries, Penetrating - pathology</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Intraoperative Complications - diagnostic imaging</subject><subject>Intraoperative Complications - etiology</subject><subject>Intraoperative Complications - prevention & control</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgery</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Orbital Fractures - diagnostic imaging</subject><subject>Orbital Fractures - etiology</subject><subject>Orbital Fractures - pathology</subject><subject>Surgical Orthopedics</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp9kT1PwzAQhi0EoqXwA1hQxABT4M527HhgQBVfUiWWMltO4rSpUqfYydB_j6tWqoQEHs627rnX53sJuUZ4QAD5GGIATAFUCpRiqk7IGBSnaQxwGs8Qs4KKfEQuQljFG5WcnZMRKpplEtmYPM29caHzRdObNtlYZ3tv-sYtkqU1VdK41eC3SbFNTNJ3TWv7pPBDWCZL46rWXpKz2rTBXh32Cfl6fZlP39PZ59vH9HmWlhywTxHLIqesFpAzkSOTUFec87JmWGeFUKZilHFJDdhcKFowFEogzxjG3hWTbELu97ob330PNvR63YTStq1xthuClhnPMp5jHsm7f0khWVwCInj7C1x1g3fxF5qyODiInUQI91DpuxC8rfXGN2vjtxpB7yzQewt0tEDvLNC7mpuD8FCsbXWsOMw8AnQPhJhyC-uPL_-t-gNpY411</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Farhadi, M. R.</creator><creator>Becker, M.</creator><creator>Stippich, C.</creator><creator>Unterberg, A. W.</creator><creator>Kiening, K. L.</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Transorbital penetrating head injury by a toilet brush handle</title><author>Farhadi, M. R. ; Becker, M. ; Stippich, C. ; Unterberg, A. W. ; Kiening, K. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-11cb823f6083681370fd444cf31f5b69ad323472a0e8692b31696145312689373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - pathology</topic><topic>Brain - surgery</topic><topic>Brain Abscess - diagnostic imaging</topic><topic>Brain Abscess - etiology</topic><topic>Brain Abscess - pathology</topic><topic>Brain Injuries - diagnostic imaging</topic><topic>Brain Injuries - etiology</topic><topic>Brain Injuries - pathology</topic><topic>Brief Report of a Special Case</topic><topic>Cerebral Hemorrhage, Traumatic - diagnostic imaging</topic><topic>Cerebral Hemorrhage, Traumatic - prevention & control</topic><topic>Cerebral Hemorrhage, Traumatic - surgery</topic><topic>Craniotomy</topic><topic>Decompression, Surgical</topic><topic>Disability Evaluation</topic><topic>Epilepsy - complications</topic><topic>Foreign Bodies - diagnostic imaging</topic><topic>Foreign Bodies - pathology</topic><topic>Foreign Bodies - surgery</topic><topic>Head Injuries, Penetrating - diagnostic imaging</topic><topic>Head Injuries, Penetrating - etiology</topic><topic>Head Injuries, Penetrating - pathology</topic><topic>Humans</topic><topic>Interventional Radiology</topic><topic>Intraoperative Complications - diagnostic imaging</topic><topic>Intraoperative Complications - etiology</topic><topic>Intraoperative Complications - prevention & control</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgery</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Orbital Fractures - diagnostic imaging</topic><topic>Orbital Fractures - etiology</topic><topic>Orbital Fractures - pathology</topic><topic>Surgical Orthopedics</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farhadi, M. R.</creatorcontrib><creatorcontrib>Becker, M.</creatorcontrib><creatorcontrib>Stippich, C.</creatorcontrib><creatorcontrib>Unterberg, A. W.</creatorcontrib><creatorcontrib>Kiening, K. 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R.</au><au>Becker, M.</au><au>Stippich, C.</au><au>Unterberg, A. W.</au><au>Kiening, K. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transorbital penetrating head injury by a toilet brush handle</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>151</volume><issue>6</issue><spage>685</spage><epage>687</epage><pages>685-687</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Transorbital penetrating brain injuries are rare lesions without defined therapy standards.
Clinical presentation and intervention
A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.
Conclusion
Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>19255713</pmid><doi>10.1007/s00701-009-0221-9</doi><tpages>3</tpages></addata></record> |
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| ispartof | Acta neurochirurgica, 2009-06, Vol.151 (6), p.685-687 |
| issn | 0001-6268 0942-0940 |
| language | eng |
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| subjects | Accidental Falls Brain - diagnostic imaging Brain - pathology Brain - surgery Brain Abscess - diagnostic imaging Brain Abscess - etiology Brain Abscess - pathology Brain Injuries - diagnostic imaging Brain Injuries - etiology Brain Injuries - pathology Brief Report of a Special Case Cerebral Hemorrhage, Traumatic - diagnostic imaging Cerebral Hemorrhage, Traumatic - prevention & control Cerebral Hemorrhage, Traumatic - surgery Craniotomy Decompression, Surgical Disability Evaluation Epilepsy - complications Foreign Bodies - diagnostic imaging Foreign Bodies - pathology Foreign Bodies - surgery Head Injuries, Penetrating - diagnostic imaging Head Injuries, Penetrating - etiology Head Injuries, Penetrating - pathology Humans Interventional Radiology Intraoperative Complications - diagnostic imaging Intraoperative Complications - etiology Intraoperative Complications - prevention & control Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgery Monitoring, Intraoperative - methods Neurology Neuroradiology Neurosurgery Orbital Fractures - diagnostic imaging Orbital Fractures - etiology Orbital Fractures - pathology Surgical Orthopedics Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Transorbital penetrating head injury by a toilet brush handle |
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