• World Neurosurg · Feb 2016

    Case Reports

    Transorbital Penetrating Intracranial Injury with an Umbrella Wire causing Cavernous ICA Injury and Thrombosis.

    • Raman Mahalangikar, Amandeep Kumar, and Bhawani S Sharma.
    • Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
    • World Neurosurg. 2016 Feb 1; 86: 513.e15-8.

    BackgroundTransorbital penetrating intracranial injuries, though rare, can have serious consequences. Intracranial penetration can be present even if orbital trauma is trivial.Case DescriptionWe report an unusual case of transorbital penetrating intracranial injury with umbrella wire, sustained while opening an umbrella, leading to internal carotid artery injury and thrombosis. The patient sustained only ipsilateral third nerve palsy that completely recovered during followup.ConclusionTrivial orbital injuries can be associated with significant intracranial injury in a neurologically intact patient. This case emphasizes the potentially injury-prone opening mechanism of conventional umbrellas. A high index of suspicion is important while evaluating such patients.Copyright © 2016 Elsevier Inc. All rights reserved.

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