Intracerebellar penetrating injury and abscess due to a wooden foreign body--case report.
A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T2-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.
Ishikawa
E
E
Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Meguro
K
K
Yanaka
K
K
Murakami
T
T
Narushima
K
K
Aoki
T
T
Nose
T
T
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001922:Brain Abscess / Q000150:complications / Q000175:diagnosis*; D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis*; D002675:Child, Preschool; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D020197:Head Injuries, Penetrating / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D014934:Wood