Baba M, Tachizawa T, Takizawa H, Sugiura K
No Shinkei Geka. 1982 Aug;10(8):869-74.
About a month prior to admission to our hospital, a 25-year-old man had a quarrel with his friend and was stabbed in his left eye with a cracked bottle of beer. He underwent emergency operation for the injured left eye. Subsequently he was admitted to an ophthalmological ward in our hospital for plastic surgery of an artificial eye. An intracranial foreign body was pointed out, and he was soon transferred to our neurosurgical ward. Plain x-ray films and tomograms of the skull and CT scan showed a foreign body at medial portion of the left superior orbital fissure. Carotid angiography revealed no significant implication of the cerebral vessels. As there was a strong suspicion of cerebral contusion or liquorrhea, a pterional craniotomy was so designed as to do removal of thie foreign body and repair of the dura mater in one stage. The post-operative couse was uneventful without liquorrhea or miningitis. It was emphasized that pterional approach used by Hamby (1970) for surgery of malignant exophthalmos was useful and felicitious in this case. It was additionally reported that cerebrospinal orbitorrhea observed in this case was rare and it might be the third case in the literature.
在入院前约一个月，一名25岁男子与朋友发生争吵，被一个破裂的啤酒瓶刺伤左眼。他接受了左眼受伤的急诊手术。随后，他被收治到我院眼科病房进行义眼整形手术。检查发现有颅内异物，很快他就被转到了我院神经外科病房。头颅平片、断层扫描及CT扫描显示异物位于左眶上裂内侧。颈动脉血管造影显示脑血管无明显异常。由于高度怀疑有脑挫伤或脑脊液漏，故设计了翼点开颅术，以便一期取出异物并修补硬脑膜。术后过程顺利，无脑脊液漏或脑膜炎。强调Hamby（1970年）用于恶性突眼手术的翼点入路在该病例中是有用且合适的。另外报道，该病例中观察到的脑脊液眶漏很罕见，可能是文献报道中的第三例。
