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http://dx.doi.org/10.3340/jkns.2012.52.4.414

Transorbital Penetrating Intracranial Injury by a Chopstick  

Shin, Tae-Hee (Department of Neurosurgery, Yeungnam University College of Medicine)
Kim, Jong-Hoon (Department of Neurosurgery, Yeungnam University College of Medicine)
Kwak, Kyung-Woo (Department of Neurosurgery, Yeungnam University College of Medicine)
Kim, Seong-Ho (Department of Neurosurgery, Yeungnam University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.52, no.4, 2012 , pp. 414-416 More about this Journal
Abstract
A 38-year-old man fell from a chair with a chopstick in his hand. The chopstick penetrated his left eye. He noticed pain, swelling, and numbness around his left eye. On physical examination, a linear wound was noted at the medial aspect of the left eyelid. Noncontrast computed tomography (CT) study showed a linear hypodense structure extending from the medial aspect of the left orbit to the occipital bone, suggesting a foreign body. This foreign body was hyperdense relative to normal parenchyma. From a CT scan with 3-dimensional reconstruction, the foreign body was found to be passing through the optic canal into the cranium. The clear plastic chopstick was withdrawn without difficulty. The patient was discharged home 3 weeks after his surgery. A treatment plan for a transorbital penetrating injury should be determined by a multidisciplinary team, with input from neurosurgeons and ophthalmologists.
Keywords
Penetrating; Foreign body; Orbit; Craniocerebral trauma;
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