title: Orbitocerebral injury by a knife: case report.
abstract: Orbital penetrating injuries may cause significant harm to the optic nerves and eyeball as well as to the brain and cerebral vessels. Management of orbital foreign bodies should include prompt recognition of the extent of the injury, broad-spectrum parenteral antibiotics, tetanus prophylaxis, anticonvulsant medication and early surgical intervention under direct vision to remove the foreign body and to avoid immediate and long-term complications. We report a penetrating orbital injury caused by a bread knife that extended from the orbit to the tegmental dura mater of the temporal bone. The knife's main trajectory coursed through the temporal lobe. Adjacent cerebral structures were explored before removal of the knife.
authors.affiliation: Ankara Numune Education and Research Hospital. Neurosurgery Clinics. Ankara. Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Okay
authors.forename: E
authors.initials: E
authors.lastname: Dağlioğlu
authors.forename: C
authors.initials: C
authors.lastname: Ozdol
authors.forename: O
authors.initials: O
authors.lastname: Uckun
authors.forename: A
authors.initials: A
authors.lastname: Dalgic
authors.forename: F
authors.initials: F
authors.lastname: Ergungor
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology*; D004630:Emergencies; D015807:Eye Injuries, Penetrating / Q000188:drug therapy / Q000601:surgery*; D020197:Head Injuries, Penetrating / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009915:Orbit / Q000293:injuries* / Q000601:surgery; D011681:Pupil Disorders / Q000209:etiology; D013702:Temporal Lobe / Q000293:injuries* / Q000601:surgery; D013745:Tetanus Toxoid
chemical_list: D000900:Anti-Bacterial Agents; D000927:Anticonvulsants; D013745:Tetanus Toxoid