Xue Hang, Zhang Wei-Tao, Wang Guang-Ming, Shi Lin, Zhang Yi-Ming, Yang Hong-Fa
Department of Neurotraumatic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
Department of Neurosurgery, The Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun 130021, Jilin Province, China.
World J Clin Cases. 2020 Jan 26;8(2):471-478. doi: 10.12998/wjcc.v8.i2.471.
Penetrating brain injury (PBI) is an uncommon emergency in neurosurgery, and transorbital PBI is a rare type of PBI. Reasonable surgical planning and careful postoperative management can improve the prognosis of patients.
The first case is a 68-year-old male patient who was admitted to the hospital because a branch punctured his brain through the orbit for approximately 9 h after he unexpectedly fell while walking. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient was able to follow instructions at a 4-mo follow-up review. The other case is a 46-year-old male patient who was admitted to the hospital due to an intraorbital foreign body caused by a car accident, after which the patient was unconscious for approximately 6 h. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient could correctly answer questions at a 3-mo follow-up review.
Transorbital PBI is a rare and acute disease. Early diagnosis, surgical intervention, and application of intravenous antibiotics can improve the prognosis and quality of life of patients.
穿透性脑损伤（PBI）是神经外科一种罕见的急症，经眶穿透性脑损伤是PBI的一种罕见类型。合理的手术规划和精心的术后管理可改善患者预后。
首例病例为一名68岁男性患者，因行走时意外摔倒，树枝经眼眶刺入脑部约9小时后入院。入院后，患者接受了急诊手术治疗及术后抗感染治疗。在4个月的随访复查中，患者能够听从指令。另一例病例为一名46岁男性患者，因车祸导致眶内异物入院，伤后患者昏迷约6小时。入院后，患者接受了急诊手术治疗及术后抗感染治疗。在3个月的随访复查中，患者能够正确回答问题。
经眶穿透性脑损伤是一种罕见的急性疾病。早期诊断、手术干预及静脉应用抗生素可改善患者预后及生活质量。
