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Orbito-cranial injury caused by penetrating metallic foreign bodies: report of two cases

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Abstract

Two cases of orbito-cranial injury caused by foreign bodies (FBs)penetrating the lateral wall and roof of the orbit are described.In the first patient, a long rusted nail acted as a missile andwas only detected by X-rays and CT scan. The nail penetratedthe orbit, the eyeball, the lateral orbital wall, and thetemporal lobe of the brain. Lodged partly in the orbit andpartly in the brain, this nail caused leakage of cerebrospinalfluid (CSF) through eye and led to orbital cellulitis andlocalized meningitis. The foreign body (FB) was removed throughan extradural pterional approach with rapid resolution oforbital cellulitis and meningitis. In the second patient,large metallic FB, having penetrated the orbital roof was lodgedintracranially above the chiasma. This was removed via frontalcraniotomy. Mechanism of such injuries and appropriatesurgical approaches are described as well.

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Authors and Affiliations

  1. Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Naim-Ur Rahman

  2. Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Abdulhakim Jamjoom

  3. Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Zain Alabedeen B. Jamjoom

  4. King Abdulaziz University Hospital, Riyadh, Saudi Arabia

    Ahmed Abu El-Asrar

Authors
  1. Naim-Ur Rahman
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  2. Abdulhakim Jamjoom
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  3. Zain Alabedeen B. Jamjoom
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  4. Ahmed Abu El-Asrar
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Rahman, NU., Jamjoom, A., Jamjoom, Z.A.B. et al. Orbito-cranial injury caused by penetrating metallic foreign bodies: report of two cases. Int Ophthalmol 21, 13–17 (1997). https://doi.org/10.1023/A:1005834913614

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  • DOI: https://doi.org/10.1023/A:1005834913614

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