Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report
<p>Abstract</p> <p>Introduction</p> <p>This case report describes a patient who had a perforating eyelid injury that extended to the brain stem.</p> <p>Case presentation</p> <p>A 17-year-old Japanese woman complained of decreased vision in her ri...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2010-01-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/4/1/18 |
| _version_ | 1819029311487737856 |
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| author | Yoshikawa-Kobayashi Izumi Inoue Makoto Noda Eiichiro Nagamoto Toshiyuki |
| author_facet | Yoshikawa-Kobayashi Izumi Inoue Makoto Noda Eiichiro Nagamoto Toshiyuki |
| author_sort | Yoshikawa-Kobayashi Izumi |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>This case report describes a patient who had a perforating eyelid injury that extended to the brain stem.</p> <p>Case presentation</p> <p>A 17-year-old Japanese woman complained of decreased vision in her right eye, with severe ocular pain and headaches, after the metal tip of an umbrella struck her upper right eyelid accidentally. Her vision in the right eye decreased to light perception with commotio retinae, intraretinal hemorrhage, and severe lid swelling. Magnetic resonance imaging (MRI) demonstrated edema of the head of the caudate nucleus and putamen, and the edema extended to the hypothalamus. The MRI findings indicated that the umbrella tip had penetrated through the eyelid and the posterior orbital wall. Vision improved to 20/50 in the right eye, with subretinal fibrosis caused by the choroidal rupture.</p> <p>Conclusions</p> <p>We recommend that MRI be performed on the orbit and brain in patients who appear to have symptoms that are inconsistent with the observed injury and when a severe orbitocranial injury is suspected.</p> |
| first_indexed | 2024-12-21T06:12:15Z |
| format | Article |
| id | doaj.art-aecdc8aa56244f9abc67c91d5e2ec607 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-21T06:12:15Z |
| publishDate | 2010-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-aecdc8aa56244f9abc67c91d5e2ec6072022-12-21T19:13:30ZengBMCJournal of Medical Case Reports1752-19472010-01-01411810.1186/1752-1947-4-18Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case reportYoshikawa-Kobayashi IzumiInoue MakotoNoda EiichiroNagamoto Toshiyuki<p>Abstract</p> <p>Introduction</p> <p>This case report describes a patient who had a perforating eyelid injury that extended to the brain stem.</p> <p>Case presentation</p> <p>A 17-year-old Japanese woman complained of decreased vision in her right eye, with severe ocular pain and headaches, after the metal tip of an umbrella struck her upper right eyelid accidentally. Her vision in the right eye decreased to light perception with commotio retinae, intraretinal hemorrhage, and severe lid swelling. Magnetic resonance imaging (MRI) demonstrated edema of the head of the caudate nucleus and putamen, and the edema extended to the hypothalamus. The MRI findings indicated that the umbrella tip had penetrated through the eyelid and the posterior orbital wall. Vision improved to 20/50 in the right eye, with subretinal fibrosis caused by the choroidal rupture.</p> <p>Conclusions</p> <p>We recommend that MRI be performed on the orbit and brain in patients who appear to have symptoms that are inconsistent with the observed injury and when a severe orbitocranial injury is suspected.</p>http://www.jmedicalcasereports.com/content/4/1/18 |
| spellingShingle | Yoshikawa-Kobayashi Izumi Inoue Makoto Noda Eiichiro Nagamoto Toshiyuki Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report Journal of Medical Case Reports |
| title | Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report |
| title_full | Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report |
| title_fullStr | Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report |
| title_full_unstemmed | Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report |
| title_short | Perforating eyelid injury extending to the brain stem in a 17-year-old woman: a case report |
| title_sort | perforating eyelid injury extending to the brain stem in a 17 year old woman a case report |
| url | http://www.jmedicalcasereports.com/content/4/1/18 |
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