Paiva Wellingson Silva, Monaco Bernardo, Prudente Marcelo, Soares Matheus Schimidt, de Amorim Robson Luis Oliveira, de Andrade Almir Ferreira, Teixeira Manoel Jacobsen
Division of Neurosurgery, Hospital Das Clinicas University of Sao Paulo Medical School, Sao Paulo, Brazil.
Clin Ophthalmol. 2010 Oct 5;4:1103-5. doi: 10.2147/OPTH.S9638.
Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital injury, resulting in meningitis. We performed a combined surgical approach with neurosurgeons and ophthalmogic surgeons. Upon discharge, the patient had a Glasgow Coma Scale score of 15, no motor deficit and no visual loss. We discuss the management of this case and review current literature.
颅骨和脑穿透伤相对少见,约占所有头部损伤的0.4%。经眶穿透性脑损伤在急诊实践中并不常见,其治疗存在争议。我们报告一例10岁男孩,他在与其他孩子玩耍时向前摔倒在一根竹竿上,导致经眶穿透伤,继而引发脑膜炎。我们与神经外科医生和眼科医生联合实施了手术。出院时,患者格拉斯哥昏迷量表评分为15分,无运动功能缺损及视力丧失。我们讨论了该病例的治疗方法并回顾了当前的文献。