title: Accidental Transorbital Penetrating Brainstem and Carotid Injury with CB Antenna: A Case Report.
abstract: The authors present an unusual case of a transorbital penetrating injury of the internal carotid artery and brainstem. A young man accidentally ran into a 10-foot long citizens band (CB) antenna, and presented to the emergency department with nausea, dizziness and right periorbital ecchymosis. The nature and full extent of the injury were not appreciated at the time of initial examination and computed tomography scan. Magnetic resonance imaging subsequently demonstrated an unusual brainstem lesion. Neurology consultation was obtained. The neurologist and neuroradiologists reviewed the neurological and imaging findings together. This collaboration proved critical to understanding the true nature and extent of the injury and planning evaluation and treatment. Cerebral angiography revealed a traumatic internal carotid artery dissection and pseudoaneurysm, which was treated by placement of a covered stent. The clinical symptoms remained mild and 7-year follow up shows clinical and angiographic stability.
authors.affiliation: Lafayette General Medical Center.
authors.forename: Kevin
authors.initials: K
authors.lastname: Hargrave
authors.affiliation: Radiology Department, Our Lady of Lourdes Regional Medical Center, Lafayette, Louisiana.
authors.forename: Blaine
authors.initials: B
authors.lastname: Hoppe
authors.affiliation: Radiology Department, Our Lady of Lourdes Regional Medical Center, Lafayette, Louisiana.|Department of Radiology, LSU School of Medicine, New Orleans, Louisiana.
authors.forename: Joan
authors.initials: J
authors.lastname: Wojak
authors.affiliation: Radiology Department, Opelousas General Health System, Opelousas, Louisiana.
authors.forename: Paula
authors.initials: P
authors.lastname: Sharkey
authors.affiliation: Envision Imaging, Lafayette, Louisiana.
authors.forename: James
authors.initials: J
authors.lastname: Godchaux
authors.affiliation: Department of Radiology, Methodist Hospital, Houston, Texas.
authors.forename: Orlando
authors.initials: O
authors.lastname: Diaz
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging*; D001933:Brain Stem / Q000000981:diagnostic imaging* / Q000293:injuries; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging*; D002343:Carotid Artery, Internal; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed