Wang Chao-Bin, Wang Hui, Zhao Jun-Shuang, Wu Ze-Jun, Liu Hao-Dong, Wang Chao-Jia, Li An-Rong, Wang Dawei, Hu Juntao
Department of Neurosurgery, Taihe Hospital, Jinzhou Medical University Union Training Base, Shiyan, China.
Department of Neurosurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
J Korean Neurosurg Soc. 2023 Sep;66(5):598-604. doi: 10.3340/jkns.2022.0234. Epub 2023 Jun 21.
Penetrating head injury is a serious open cranial injury. In civilians, it is often caused by non-missile, low velocity flying objects that penetrate the skull through a weak cranial structure, forming intracranial foreign bodies. The intracranial foreign body can be displaced due to its special quality, shape, and location. In this paper, we report a rare case of right-to-left displacement of an airgun lead bullet after transorbital entry into the skull complicated by posttraumatic epilepsy, as a reminder to colleagues that intracranial metal foreign bodies maybe displaced intraoperatively. In addition, we have found that the presence of intracranial metallic foreign bodies may be a factor for the posttraumatic epilepsy, and their timely removal appears to be beneficial for epilepsy control.
穿透性颅脑损伤是一种严重的开放性颅脑损伤。在平民中，它通常由非导弹类低速飞行物体通过颅骨薄弱结构穿透颅骨所致，形成颅内异物。颅内异物因其特殊的性质、形状和位置可能发生移位。本文报告1例罕见的气枪铅弹经眶部进入颅骨后自右向左移位并伴有创伤后癫痫的病例，以提醒同行颅内金属异物在手术中可能发生移位。此外，我们发现颅内金属异物的存在可能是创伤后癫痫的一个因素，及时取出似乎有利于癫痫的控制。
