Dávila Siliezar Pámela A, Duarte-Celada Walter R, Montalvan Victor, Duarte-Celada Christopher, Aguilar Ruiz Basilio E
Department of Ophthalmology, University of San Carlos de Guatemala, Guatemala City, Guatemala.
Department of Neurology, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2020 Dec 14;34(2):323-324. doi: 10.1080/08998280.2020.1854038.
Self-inflicted transorbital stab injuries are not commonly seen in clinical practice. These lesions usually lead to major disability depending on the intracranial structures transected. We present a case of a 34-year-old man with a self-inflicted stab injury in his right orbit from a pen. Computed tomography revealed that the pen crossed intracranially from the orbit to the posterior fossa and pierced the pons. Such injuries are usually seen in the context of major psychiatric or drug abuse disorders. A multidisciplinary approach between ophthalmology and neurosurgery is essential in the management of these patients.
自伤性经眶刺伤在临床实践中并不常见。这些损伤通常会因横断的颅内结构而导致严重残疾。我们报告一例34岁男性，用钢笔自伤右眼眶。计算机断层扫描显示钢笔从眼眶经颅内穿至后颅窝并刺破脑桥。此类损伤通常见于严重精神疾病或药物滥用障碍的背景下。眼科和神经外科的多学科方法对这些患者的管理至关重要。
