Yamashita Taro, Mikami Takeshi, Baba Takeo, Minamida Yoshihiro, Sugino Toshiya, Koyanagi Izumi, Nonaka Tadashi, Houkin Kiyohiro
Department of Neurosurgery, Sapporo Medical University, Sapporo, Japan.
J Neuroophthalmol. 2007 Mar;27(1):48-9. doi: 10.1097/WNO.0b013e3180325ef4.
An inebriated 86-year-old man impaled himself on a wooden earpick that penetrated through the superior orbital fissure into the prepontine cistern. The patient underwent surgery immediately by a lateral suboccipital approach, and the earpick was pulled out through the wound with control of hemorrhage from the cavernous sinus. He survived this event with no neurologic deficits apart from complete ipsilateral ophthalmoplegia and ptosis. Prompt imaging and surgical intervention allowing direct visualization of the foreign body and prevention of intracranial complications are part of proper management of this problem.
一名86岁醉酒男子将一根木质掏耳勺刺入自己头部，掏耳勺经眶上裂穿入脑桥前池。患者立即接受枕下外侧入路手术，在控制海绵窦出血的情况下从伤口处取出掏耳勺。除同侧完全性眼肌麻痹和上睑下垂外，患者无神经功能缺损，得以幸存。及时的影像学检查和手术干预，以便直接观察异物并预防颅内并发症，是处理此类问题的正确方法。
