Department of Neurosurgery, Sri Satya Sai Institute of Higher Medical Sciences, Bangalore, India.
Indian J Pediatr. 2010 May;77(5):575-6. doi: 10.1007/s12098-010-0073-6. Epub 2010 May 7.
A four-year-old child presented with recent onset generalized tonic clonic seizures. She was operated for a suspected intracranial tuberculoma and was found to harbor an intra-parenchymal retained wooden foreign body with a chronic abscess. The foreign body had entered the brain parenchyma after a minor head injury, sustained three years earlier. She was asymptomatic for the intervening three years. The initial diagnosis was missed by several physicians. A retained wooden fragment via a transtemporal apparently closed head injury is an extremely rare event. The present study reveals the diagnostic and therapeutic challenges and stresses the importance of high degree of suspicion to diagnose retained intracranial foreign bodies and the need for early surgical exploration, to avoid chronic and potentially life threatening neurological complications.
一名 4 岁儿童出现近期发作的全面强直阵挛性发作。她因疑似颅内结核瘤接受了手术，并发现有一个脑实质内的木质异物伴有慢性脓肿。该异物是在 3 年前的一次轻微头部外伤后进入脑实质的。在这 3 年的时间里，她没有任何症状。最初的诊断被几位医生误诊了。通过经颞部的明显闭合性头部损伤而遗留的木质碎片是一种极其罕见的事件。本研究揭示了诊断和治疗方面的挑战，并强调了高度怀疑诊断遗留颅内异物的重要性，以及早期手术探查的必要性，以避免慢性和潜在危及生命的神经并发症。
