Nishio Y, Hayashi N, Hamada H, Hirashima Y, Endo S
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama, Japan.
Acta Neurochir (Wien). 2004 Aug;146(8):847-50. doi: 10.1007/s00701-004-0283-7. Epub 2004 Jun 7.
A 13-year-old female is presented. When she was six years old, she had fallen, holding wooden chopsticks and got stuck with a chopstick in the right upper eyelid. She was brought to a physician immediately, but a residual foreign body was missed and no particular symptom had developed during 7 years. She visited our department with fever and headache, and a brain abscess and an intracranial foreign body were found on computed tomography (CT) and magnetic resonance image (MRI) 7 years after the penetrating injury. She underwent removal of the object and abscess by craniotomy and recovered without neurological abnormalities. Since intracranial retained wooden foreign bodies frequently cause delayed complications of severe central nervous system infection, surgical removal is necessary even in the absence of symptoms.
一名13岁女性前来就诊。她6岁时摔倒,当时手持木筷,一根筷子扎入右上眼睑。她立即被送往看医生,但残留的异物被漏诊,在7年里未出现任何特殊症状。7年后,她因发热和头痛前来我院就诊,计算机断层扫描(CT)和磁共振成像(MRI)检查发现脑脓肿和颅内异物。她接受了开颅手术取出异物和脓肿,术后恢复良好,未遗留神经功能异常。由于颅内留存的木质异物常导致严重中枢神经系统感染的延迟并发症,即使没有症状也有必要进行手术取出。