Farhadi M R, Becker M, Stippich C, Unterberg A W, Kiening K L
Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Acta Neurochir (Wien). 2009 Jun;151(6):685-7. doi: 10.1007/s00701-009-0221-9. Epub 2009 Mar 4.
Transorbital penetrating brain injuries are rare lesions without defined therapy standards.
A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage.
Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.
经眶穿透性脑损伤是罕见的损伤，尚无明确的治疗标准。
一名男性患者因马桶刷柄刺入右侧大脑半球就诊于我院。CT成像显示该物体进入右侧眼眶并在脑室平面穿过右侧半球。在进行了中型开颅手术后，在术中CT扫描监测下逐步取出该物体，以确保未发生大出血。
经眶穿透性脑损伤的最佳治疗方法是利用所有最新技术进展，如术中CT扫描，以提高此类具有立即危及生命的颅内出血风险的特殊损伤的管理安全性。
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