• Acta neurochirurgica · Jun 2009

    Case Reports

    Transorbital penetrating head injury by a toilet brush handle.

    • M R Farhadi, M Becker, C Stippich, A W Unterberg, and K L Kiening.
    • Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. mohammad.farhadi@med.uni-heidelberg.de
    • Acta Neurochir (Wien). 2009 Jun 1; 151 (6): 685-7.

    BackgroundTransorbital penetrating brain injuries are rare lesions without defined therapy standards.Clinical Presentation And InterventionA 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.ConclusionTransorbital 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.

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