Kitakami A, Kirikae M, Kuroda K, Ogawa A
Division of Neurosurgery, Senmaya Prefectural Hospital, Iwate.
Neurol Med Chir (Tokyo). 1999 Feb;39(2):150-2. doi: 10.2176/nmc.39.150.
A 4-year-old boy presented with a transorbital-transpetrosal penetrating head injury after a butter knife had penetrated the left orbit. The knife tip reached the posterior fossa after penetrating the petrous bone. Wide craniotomy and the pterional, subtemporal, and lateral suboccipital approaches were performed for safe removal of the object. The patient was discharged with left-sided blindness, complete left ophthalmoplegia, and hypesthesia of the left face. Early angiography is recommended to identify vascular injury which could result in fatal intracranial hemorrhage.
一名4岁男孩在一把黄油刀刺入左眼眶后，出现经眶-经岩骨贯通性头部损伤。刀尖穿透岩骨后到达后颅窝。为安全取出异物，进行了广泛的开颅手术以及翼点、颞下和枕下外侧入路。患者出院时伴有左侧失明、左侧完全性眼肌麻痹和左侧面部感觉减退。建议早期进行血管造影以识别可能导致致命性颅内出血的血管损伤。
