Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage
Orbito-cranial foreign bodies present a treacherous situation that can escape detection. The only evidence of these foreign bodies may be the entry wound in the form of a small lid laceration. A two-year-old boy presented with right upper lid laceration following a fall two hours back. Analysis of t...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=6;spage=505;epage=507;aulast=Shah |
| _version_ | 1831635042124693504 |
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| author | Akash D Shah Christian Decock |
| author_facet | Akash D Shah Christian Decock |
| author_sort | Akash D Shah |
| collection | DOAJ |
| description | Orbito-cranial foreign bodies present a treacherous situation that can escape detection. The only evidence of these foreign bodies may be the entry wound in the form of a small lid laceration. A two-year-old boy presented with right upper lid laceration following a fall two hours back. Analysis of the fluid around the wound revealed a beta-tracer protein (beta-TP) value of 33.5 mg/l suggestive of cerebrospinal fluid (CSF). Three-dimensional computed tomography (CT) scan revealed a foreign body measuring 4.2 cm x 0.8 cm passing from the orbital roof to the frontal lobe. The foreign body tract was explored through the eyelid laceration and a broken pencil was removed followed by dural patch graft. The patient developed no ocular or intracranial complications. Beta-TP, a highly specific marker of CSF is routinely used in screening patients of neurosurgery and otolaryngology with CSF leaks, however, its use has never been reported in ophthalmic literature based on an online PubMed search. |
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| format | Article |
| id | doaj.art-980eaeaef2e14561b87b878a624ce322 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-19T06:06:38Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-980eaeaef2e14561b87b878a624ce3222022-12-21T20:33:07ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892011-01-0159650550710.4103/0301-4738.86325Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakageAkash D ShahChristian DecockOrbito-cranial foreign bodies present a treacherous situation that can escape detection. The only evidence of these foreign bodies may be the entry wound in the form of a small lid laceration. A two-year-old boy presented with right upper lid laceration following a fall two hours back. Analysis of the fluid around the wound revealed a beta-tracer protein (beta-TP) value of 33.5 mg/l suggestive of cerebrospinal fluid (CSF). Three-dimensional computed tomography (CT) scan revealed a foreign body measuring 4.2 cm x 0.8 cm passing from the orbital roof to the frontal lobe. The foreign body tract was explored through the eyelid laceration and a broken pencil was removed followed by dural patch graft. The patient developed no ocular or intracranial complications. Beta-TP, a highly specific marker of CSF is routinely used in screening patients of neurosurgery and otolaryngology with CSF leaks, however, its use has never been reported in ophthalmic literature based on an online PubMed search.http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=6;spage=505;epage=507;aulast=ShahMyopiaprethreshold retinopathy of prematurityretinopathy of prematurityRetinopathy of prematurityscreeningsurveyAnthraxcommunity-acquired methicillin-resistant Staphyloccus aureusorbital cellulitispreseptal cellulitisIntrastromal corneal ring segments; keraring; post-LASIK ectasiaBlebitisbleb leakmicrobiologyocular surface diseasesrisk factorsEarly glaucomaretinal nerve fiber layer thicknessspectral optical coherence tomography / scanning laser ophthalmoscopeBlowoutdiplopiaprismstrabismusOcular traumaopen globe injurypreoperative visual acuityprognostic factorsrelative afferent pupillary defectAnterior chamber depthaxial lengthlens thicknessphacomorphic glaucomarisk factorRefractive errorsSchoolgirlsvisual impairmentsCataractintraocular lensmonovisionpresbyopiapseudophakicAccommodative esotropiaatropinecycloplegiaesotropiaOptic disc cuppingoptic disc pallorsuprasellar tumorglaucomaneuroimagingDislocated nucleusintraocular lensiris claw lenspars plana vitrectomyRetinoblastomaretinopathy of prematurityrisk factorFoveal hypoplasiamicroperimetryspectral domain optical coherence tomographyBeta-tracer proteincerebrospinal fluid leakagethree-dimensional computed tomography |
| spellingShingle | Akash D Shah Christian Decock Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage Indian Journal of Ophthalmology Myopia prethreshold retinopathy of prematurity retinopathy of prematurity Retinopathy of prematurity screening survey Anthrax community-acquired methicillin-resistant Staphyloccus aureus orbital cellulitis preseptal cellulitis Intrastromal corneal ring segments; keraring; post-LASIK ectasia Blebitis bleb leak microbiology ocular surface diseases risk factors Early glaucoma retinal nerve fiber layer thickness spectral optical coherence tomography / scanning laser ophthalmoscope Blowout diplopia prism strabismus Ocular trauma open globe injury preoperative visual acuity prognostic factors relative afferent pupillary defect Anterior chamber depth axial length lens thickness phacomorphic glaucoma risk factor Refractive errors Schoolgirls visual impairments Cataract intraocular lens monovision presbyopia pseudophakic Accommodative esotropia atropine cycloplegia esotropia Optic disc cupping optic disc pallor suprasellar tumor glaucoma neuroimaging Dislocated nucleus intraocular lens iris claw lens pars plana vitrectomy Retinoblastoma retinopathy of prematurity risk factor Foveal hypoplasia microperimetry spectral domain optical coherence tomography Beta-tracer protein cerebrospinal fluid leakage three-dimensional computed tomography |
| title | Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| title_full | Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| title_fullStr | Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| title_full_unstemmed | Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| title_short | Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| title_sort | occult orbito cranial penetrating injury by pencil role of beta tracer protein as a marker for cerebrospinal fluid leakage |
| topic | Myopia prethreshold retinopathy of prematurity retinopathy of prematurity Retinopathy of prematurity screening survey Anthrax community-acquired methicillin-resistant Staphyloccus aureus orbital cellulitis preseptal cellulitis Intrastromal corneal ring segments; keraring; post-LASIK ectasia Blebitis bleb leak microbiology ocular surface diseases risk factors Early glaucoma retinal nerve fiber layer thickness spectral optical coherence tomography / scanning laser ophthalmoscope Blowout diplopia prism strabismus Ocular trauma open globe injury preoperative visual acuity prognostic factors relative afferent pupillary defect Anterior chamber depth axial length lens thickness phacomorphic glaucoma risk factor Refractive errors Schoolgirls visual impairments Cataract intraocular lens monovision presbyopia pseudophakic Accommodative esotropia atropine cycloplegia esotropia Optic disc cupping optic disc pallor suprasellar tumor glaucoma neuroimaging Dislocated nucleus intraocular lens iris claw lens pars plana vitrectomy Retinoblastoma retinopathy of prematurity risk factor Foveal hypoplasia microperimetry spectral domain optical coherence tomography Beta-tracer protein cerebrospinal fluid leakage three-dimensional computed tomography |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=6;spage=505;epage=507;aulast=Shah |
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