title: Peripheral seventh nerve palsy due to transorbital intracranial penetrating pontine injury.
abstract: The case of a child injured by a knitting needle penetrating transorbitally and intracranially, resulting in carotid cavernous fistula and pontine injury, is reported. After receiving medical and endovascular treatment, the only remaining abnormal neurological manifestation was right peripheral facial nerve palsy. The clinical sequences of events and the demonstration of a pontine lesion leading to peripheral facial palsy are presented. Facial nuclear injury with a penetrating trauma is an extremely rare condition. It is important to identify the anatomical regions injured in penetrating traumas. The lesions must be identified by computerized tomography, magnetic resonance imaging, clinical and laboratory investigation.
authors.affiliation: Department of Neurosurgery, Medical Faculty of Osmangazi University, Eskisehir, Turkey. ecosan@ogu.edu.tr
authors.forename: T Erhan
authors.initials: TE
authors.lastname: Cosan
authors.forename: Baki
authors.initials: B
authors.lastname: Adapinar
authors.forename: Hamdi
authors.initials: H
authors.lastname: Cakli
authors.forename: M Kezban
authors.initials: MK
authors.lastname: Gurbuz
mesh_terms: D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology* / Q000628:therapy; D002675:Child, Preschool; D020220:Facial Nerve Injuries / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009915:Orbit / Q000293:injuries*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000209:etiology*