Removal of a chopstick out of the cavernous sinus, pons, and cerebellar vermis through the superior orbital fissure.
Penetrating non-missile orbito cranial injuries are rare in a civilian pediatric setting. We describe a case of a trans-orbital penetration by a wooden chopstick deep down into the cerebellar vermis detected at neuroradiological examination in a child presenting for head injury. The foreign body was successfully pulled out in one piece surgically.
Mitilian
Delphine
D
Department of Paediatric Neurosurgery, Necker Enfants Malades Hospital, 156 rue de Vaugirard, 75015 Paris, France.
Charon
Brigitte
B
Brunelle
Francis
F
Di Rocco
Federico
F
D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D002675:Child, Preschool; D020209:Cranial Nerve Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D019299:Decompression, Surgical / Q000379:methods; D005143:Eyelids / Q000293:injuries; D005151:Facial Injuries / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015878:Mydriasis / Q000209:etiology / Q000503:physiopathology; D019635:Neurosurgical Procedures / Q000379:methods*; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010291:Paresis / Q000209:etiology / Q000503:physiopathology; D011149:Pons / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome