2013 Volume 27 Issue 3 Pages 307-311
A 59-year-old man was admitted to our hospital because of dizziness and vomiting in September, 2010. He had been healthy since birth, but he had been taken to hospital after a car accident at the age of 20. Head CT revealed a neoplastic lesion with calcification in the left frontal lobe. Although his condition was improved by conservative treatment, he wished to undergo a craniotomy and tumor removal. Intraoperatively, we found a fistula over the frontal skull base and a granulomatous lesion from the fistula. Many pieces of glass were mixed into the granulation. After removal of the granulation and the pieces of glass, it was revealed that the orbita and frontal sinus communicated with the intracranium. We repaired the fistula of the frontal base and he was discharged from the hospital.
This is a rare case of intracranial glass foreign bodies found with tumorous changes 40 years after a head injury.
