Case of intracranial penetration of a metallic pipe through the orbit

A CT scan demonstrated that 13.3 cm of the 23 cm metallic pipe extended through his right orbit though his anterior cranial fossa, into the middle cranial fossa (figure 2). Removal of metal pipe followed by head CT scan for making decision regarding decompressive craniectomy. Following the dural ope...

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Bibliographic Details
Published in:Trauma surgery & acute care open 2016-09, Vol.1 (1), p.e000040-e000040
Main Authors: Mohammad, Laila Malani, Carlson, Andrew P, Gahramanov, Seymur, Lewis, Jeremy
Format: Article
Language:English
Subjects:
Challenges in Trauma and Acute Care Surgery
Foreign bodies
Hemorrhage
Medical imaging
Online Access:Get full text
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Summary:A CT scan demonstrated that 13.3 cm of the 23 cm metallic pipe extended through his right orbit though his anterior cranial fossa, into the middle cranial fossa (figure 2). Removal of metal pipe followed by head CT scan for making decision regarding decompressive craniectomy. Following the dural opening, contused hemorrhagic temporal lobe was found to be budging out under high pressure. [...]a partial temporal lobectomy was performed, which allowed access to the tip of the metal pipe intracranially, with exposure of the frontal and temporal lobes, as well as anterior and middle fossa floors (figure 3).
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2016-000040