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由牧羊钩导致的经眶穿透性颅脑损伤

Transorbital Penetrating Intracranial Injury Caused by Sheppard's Hook.

作者信息

Sams Valerie, Nagarsheth Khanjan H, Nickloes Todd A

机构信息

University of Tennessee Medical Center, Knoxville, USA.

出版信息

J Surg Case Rep. 2010 Sep 1;2010(7):3. doi: 10.1093/jscr/2010.7.3.

DOI:10.1093/jscr/2010.7.3
PMID:24946337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649148/
Abstract

Intracranial injury resulting from transorbital penetrating objects is rare in a noncombat setting. As such there is a significant lack of data pertaining to the management of non-projectile traumatic brain injuries due to foreign bodies entering the brain. Intracranial complications can include intracerebral hematoma, cerebral contusion, intraventricular hemorrhage, pneumocephalus, brain stem injury, and carotid cavernous sinus fistula. This is the first report of a transorbital penetrating intracranial injury caused by a Sheppard's hook, which was managed utilizing a multi-disciplinary, non-operative approach.

摘要

在非战斗环境中,经眶穿透性物体导致的颅内损伤较为罕见。因此,关于异物进入大脑所致非投射性创伤性脑损伤的管理,存在大量数据缺失的情况。颅内并发症可包括脑内血肿、脑挫伤、脑室内出血、气颅、脑干损伤和颈内动脉海绵窦瘘。本文首次报告了一例由牧羊钩导致的经眶穿透性颅内损伤,该损伤采用多学科非手术方法进行处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/4ba2ab511e77/jscr-2010-7-3fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/6e3d2787363b/jscr-2010-7-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/a1fb1a5db1cb/jscr-2010-7-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/98418c9b392c/jscr-2010-7-3fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/4ba2ab511e77/jscr-2010-7-3fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/6e3d2787363b/jscr-2010-7-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/a1fb1a5db1cb/jscr-2010-7-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/98418c9b392c/jscr-2010-7-3fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56b/3649148/4ba2ab511e77/jscr-2010-7-3fig4.jpg

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本文引用的文献

1
Transorbital penetrating head injury by a toilet brush handle.马桶刷柄经眶穿透性颅脑损伤
Acta Neurochir (Wien). 2009 Jun;151(6):685-7. doi: 10.1007/s00701-009-0221-9. Epub 2009 Mar 4.
2
Traumatic brain injury associated with combat ocular trauma.与战斗性眼外伤相关的创伤性脑损伤。
J Head Trauma Rehabil. 2009 Jan-Feb;24(1):41-50. doi: 10.1097/HTR.0b013e3181956ffd.
3
[Neurosurgical therapy of transorbital intracranial foreign bodies: review of 28 cases].[经眶颅内异物的神经外科治疗:28例病例回顾]
Zhonghua Yi Xue Za Zhi. 2008 Jul 1;88(25):1737-41.
4
Orbito-cranial injury caused by penetrating metallic foreign bodies: report of two cases.穿透性金属异物致眶颅损伤:2例报告
Int Ophthalmol. 1997;21(1):13-7. doi: 10.1023/a:1005834913614.
5
[Transorbital penetrating brain injury].经眶穿透性脑损伤
No Shinkei Geka. 1992 Apr;20(4):433-8.