Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Case Reports
Intracerebellar Penetrating Injury and Abscess Due to a Wooden Foreign Body
—Case Report—
Eiichi ISHIKAWAKotoo MEGUROKiyoyuki YANAKATakashi MURAKAMIKiyoshi NARUSHIMATakeshi AOKITadao NOSE
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JOURNAL OPEN ACCESS

2000 Volume 40 Issue 9 Pages 458-462

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Abstract

A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T1-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.

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© 2000 by The Japan Neurosurgical Society

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