title: [Transorbital penetrating intracranial injury by a chopstick: a case report and review of the literature].
abstract: This 4-year-old girl fell while holding plastic chopsticks and a chopstick penetrated her left eye. The chopstick was removed immediately by herself. Conventional CT and MR images showed a penetration track from the orbital roof to the basal ganglia. On susceptibility-and diffusion-weighted images the track and surrounding cytotoxic edema were visualized more clearly. Although antibiotics were started at the time of admission to prevent intracranial infection, she developed meningitis. Subsequent treatment with carbapenem antibiotic-and vancomycin therapy was curative and she was discharged home 4 weeks after the injury. In our review of the literature on intracranial penetrating injuries via the orbita we compared the injury patterns inflicted by and the clinical observations reported on damage induced by wooden-, plastic-, and metal chopsticks. We also evaluated diagnostic CT and MR images in patients with intracranial penetrating injuries caused by chopsticks and documented the advantage of susceptibility-and diffusion-weighted imaging over conventional CT-and MR imaging.
authors.affiliation: Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Fumiyuki
authors.initials: F
authors.lastname: Yamasaki
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohge
authors.forename: Ryu
authors.initials: R
authors.lastname: Tsumura
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Ryo
authors.initials: R
authors.lastname: Nosaka
authors.forename: Yuji
authors.initials: Y
authors.lastname: Akiyama
authors.forename: Minoru
authors.initials: M
authors.lastname: Ishifuro
authors.forename: Kuniki
authors.initials: K
authors.lastname: Eguchi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tominaga
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kurisu
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008581:Meningitis / Q000175:diagnosis / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents