Temporal lobe intraparenchymal retained foreign body from remote orbital trauma.
We present the case of a 35-year-old man with a new onset of seizure disorder who was found to harbor an intraparenchymal retained foreign body related to remote orbital trauma. Imaging revealed a rim-enhancing anterior medial temporal lobe mass. Histologic evaluation of the resected mass showed evidence of acute and chronic inflammation with associated foreign material. The patient described a "bar fight" 16 years previously in which he received a blow to the orbit with a pool cue stick. The diagnosis of a foreign body reaction should be considered when an intraparenchymal mass is identified in this location.
Aulino
Joseph M
JM
Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN 37232-2675, USA.
Gyure
Kymberly A
KA
Morton
Andrew
A
Cole
John W
JW
D000328:Adult; D004829:Epilepsy, Generalized / Q000209:etiology; D005547:Foreign Bodies / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D005549:Foreign-Body Reaction / Q000209:etiology / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009915:Orbit / Q000293:injuries*; D013702:Temporal Lobe; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000150:complications*