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Massive Subarachnoid Pneumocephalus due to Transorbital Intracranial Penetrating Injury: A Case Report  

Kwak, Soon-Hyuk (Department of Radiology, College of Medicine, Chungbuk National University)
Lee, Seung-Young (Department of Radiology, College of Medicine, Chungbuk National University)
Cha, Sang-Hoon (Department of Radiology, College of Medicine, Chungbuk National University)
Kang, Min-Ho (Department of Radiology, College of Medicine, Chungbuk National University)
Cho, Bum-Sang (Department of Radiology, College of Medicine, Chungbuk National University)
Han, Gi-Seok (Department of Radiology, College of Medicine, Chungbuk National University)
Park, Kil-Sun (Department of Radiology, College of Medicine, Chungbuk National University)
Kim, Sung-Jin (Department of Radiology, College of Medicine, Chungbuk National University)
Publication Information
Journal of the Korean Society of Radiology / v.65, no.5, 2011 , pp. 447-450 More about this Journal
Abstract
A transorbital intracranial injury is a rare penetrating injury that can cause severe damage to orbital and cerebral structures. We report the case of a 53-year-old woman with massive subarachnoid pneumocephalus caused by a transorbital penetrating injury. She presented to our hospital with ocular pain after she accidently pierced her left eye with a steel wire while fixing a plant in a pot. A physical examination did not show any neurologic deficit. A brain CT showed a massive subarachnoid pneumocephalus with minimal intracranial hemorrhage and a 3D-reconstructed CT image showing a fracture at the pneumatized anterior clinoid process. A follow-up brain CT scan performed 10 days later revealed that the pneumocephalus and intracranial hemorrhage had completely resolved. The patient recovered without any complications.
Keywords
Pneumocephalus; Transorbital Penetration; Anterior Clinoid Process;
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Times Cited By KSCI : 1  (Citation Analysis)
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