Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Transorbital-transpetrosal Penetrating Cerebellar Injury —Case Report—
Akira KITAKAMIMichihiro KIRIKAEKiyoshi KURODAAkira OGAWA
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1999 Volume 39 Issue 2 Pages 150-152

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Abstract

A 4-year-old boy presented with a transorbital-transpetrosal penetrating head injury after a butter knife had penetrated the left orbit. The knife tip reached the posterior fossa after penetrating the petrous bone. Wide craniotomy and the pterional, subtemporal, and lateral suboccipital approaches were performed for safe removal of the object. The patient was discharged with left-sided blindness, complete left ophthalmoplegia, and hypesthesia of the left face. Early angiography is recommended to identify vascular injury which could result in fatal intracranial hemorrhage.

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© The Japan Neurosurgical Society
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