Asian Journal of Neurosurgery

CASE REPORT
Year
: 2016  |  Volume : 11  |  Issue : 3  |  Page : 309-

Good outcome after delayed surgery for orbitocranial non-missile penetrating brain injury


Alessandro Caporlingua, Federico Caporlingua, Jacopo Lenzi 
 Department of Neurology and Psychiatry, Neurosurgery, “Sapienza” University of Rome, Rome, Italy

Correspondence Address:
Dr. Federico Caporlingua
Via del Policlinico 155, 00161 Rome
Italy

Nonmissile orbitocranial penetrating brain injuries are uncommonly dealt with in a civilian context. Surgical management is controversial, due to the lack of widely accepted guidelines. A 52-year-old man was hit in his left eye by a metallic foreign body (FB). Head computed tomography (CT) scan showed a left subcortical parietal FB with a considerable hemorrhagic trail originating from the left orbital roof. Surgical treatment was staged; an exenteratio oculi and a left parietal craniotomy to extract the FB under intraoperative CT guidance were performed at post trauma day third and sixth, respectively. A postoperative infectious complication was treated conservatively. The patient retained a right hemiparesis (3/5) and was transferred to rehabilitation in good clinical conditions at day 49th. He had suspended antiepilectic therapy at that time. A case-by-case tailored approach is mandatory to achieve the best outcome in such a heterogeneous nosological entity. Case reporting is crucial to further understand its mechanism and dynamics.


How to cite this article:
Caporlingua A, Caporlingua F, Lenzi J. Good outcome after delayed surgery for orbitocranial non-missile penetrating brain injury.Asian J Neurosurg 2016;11:309-309


How to cite this URL:
Caporlingua A, Caporlingua F, Lenzi J. Good outcome after delayed surgery for orbitocranial non-missile penetrating brain injury. Asian J Neurosurg [serial online] 2016 [cited 2019 Dec 8 ];11:309-309
Available from: http://www.asianjns.org/article.asp?issn=1793-5482;year=2016;volume=11;issue=3;spage=309;epage=309;aulast=Caporlingua;type=0