Maalouf Nour, Lavric Daniela, Rein Dimitri, Noeldge Gerd, Siedler Kai, Apitzsch Jonas
Department of Radiology and Nuclear Medicine, Helios Hospital Pforzheim, 2 - 6, Kanzlerstrasse, Pforzheim 75175, Germany.
Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Grabengasse 1, 69117 Heidelberg, Germany.
Radiol Case Rep. 2022 Feb 3;17(4):1057-1060. doi: 10.1016/j.radcr.2022.01.045. eCollection 2022 Apr.
Impalement injuries are infrequent yet tend to be life-threatening. Transorbital penetration by foreign bodies represents a peculiar form of traumatic brain injury. However, much is at stake with the high risk of neurological and ophthalmic impairment. We narrate an unusual case of a riding crop penetrating the eye of a 10-year-old girl who presented to our hospital after a fall and an episode of syncope while at a riding stable. Magnetic resonance imaging detected an extended passage-like signal in the right-sided part of the pons and the cerebral peduncles extending to the right cerebellar hemisphere. The patient exhibited marginal clinical symptoms. This case was unsurpassed, as despite the horizontal course of the riding crop perforating the osseous structures and penetrating the brain, it resulted in manageable symptoms, which resolved in a matter of weeks.
穿刺伤虽不常见，但往往危及生命。异物经眼眶穿透是一种特殊形式的创伤性脑损伤。然而，由于存在神经和眼科损伤的高风险，很多情况都处于危险之中。我们讲述了一个不同寻常的案例，一名10岁女孩在骑马场摔倒并发生晕厥后，一根马鞭刺入了她的眼睛。磁共振成像检测到脑桥右侧部分和大脑脚有延伸至右小脑半球的类似通道样信号。患者表现出轻微的临床症状。这个病例是无与伦比的，因为尽管马鞭呈水平方向穿过骨性结构并穿透大脑，但仅导致了可控的症状，且在几周内就得到了解决。
