Sugawa N, Sekimoto T, Ueda S, Yokokawa H
Department of Neurosurgery, Shakaihoken Kobe Central Hospital, Japan.
No Shinkei Geka. 1988 Oct;16(11):1311-5.
A case of transorbital intracranial foreign bodies due to windshield impact was reported. A 17-year-old man was admitted to our department after he had his face injured in a traffic accident. He was fully conscious, and had no neurological deterioration except for a disturbance in his left external ocular movement. Plain skull X-rays and a plain CT revealed foreign bodies in the left orbit and the left frontal lobe. Combined surgery, through the orbit and the subfrontal approach, was performed to remove many foreign bodies (crushed windshield glass). His external ocular movement returned to normal postoperatively. There were no complications of meningitis and liquorrhea, and he was discharged without any neurological deficiency. The law, enacted in 1988, obliges the use of high penetration resistant (H.P.R.) laminated windshield in all new cars in Japan. But many motor cars equipped with partially enhanced windshields are still in use. It should be noted that partially enhanced windshields cause more severe injuries than H.P.R. laminated ones.
报告了一例因挡风玻璃撞击导致经眶颅内异物的病例。一名17岁男性在交通事故中面部受伤后被收入我科。他神志清醒，除左眼球外运动障碍外，无神经功能恶化。头颅平片和普通CT显示左眼眶和左额叶有异物。通过眼眶和额下联合入路进行手术，取出了许多异物（破碎的挡风玻璃）。术后他的眼球外运动恢复正常。无脑膜炎和脑脊液漏等并发症，出院时无任何神经功能缺损。1988年颁布的法律规定，日本所有新车必须使用高抗穿透（H.P.R.）夹层挡风玻璃。但仍有许多配备部分强化挡风玻璃的汽车在使用。应当注意的是，部分强化挡风玻璃造成的伤害比H.P.R.夹层挡风玻璃更严重。
