Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report

Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and t...

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Main Authors: Youssef Fahde, Davis Mpando, Mehdi Laghmari, Houssine Ghannane, Said Aitbenali
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2021-01-01
Series:Iranian Journal of Neurosurgery
Subjects:
Online Access:http://irjns.org/article-1-232-en.pdf
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author Youssef Fahde
Davis Mpando
Mehdi Laghmari
Houssine Ghannane
Said Aitbenali
author_facet Youssef Fahde
Davis Mpando
Mehdi Laghmari
Houssine Ghannane
Said Aitbenali
author_sort Youssef Fahde
collection DOAJ
description Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and to raise awareness among the general population on the importance of preventing violent behavior.  Case Presentation: A 33-year-old man was a victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial part of the orbit. Neurological examination was normal, and Computed Tomography (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications. The patient reported spectacular improvement in visual acuity without neurological or oculomotor deficit at long-term follow-up. In this case report, we will discuss the radiological diagnosis and surgical management of transorbital and orbitocranial injuries by foreign body penetration.  Conclusion: Urgent multidisciplinary management in orbitocranial trauma by stabbing is mandatory to avoid life-threatening complications and irreversible damages.
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spelling doaj.art-c5a0a361f49c4a74b1555bce9fca88292023-07-17T13:31:40ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292021-01-01716166Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case ReportYoussef Fahde0Davis Mpando1Mehdi Laghmari2Houssine Ghannane3Said Aitbenali4 Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco. Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco. Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco. Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco. Department of Neurosurgery, Mohammed VI Teaching Hospital, Cadi Ayyad University, Marrakech, Morocco. Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and to raise awareness among the general population on the importance of preventing violent behavior.  Case Presentation: A 33-year-old man was a victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial part of the orbit. Neurological examination was normal, and Computed Tomography (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications. The patient reported spectacular improvement in visual acuity without neurological or oculomotor deficit at long-term follow-up. In this case report, we will discuss the radiological diagnosis and surgical management of transorbital and orbitocranial injuries by foreign body penetration.  Conclusion: Urgent multidisciplinary management in orbitocranial trauma by stabbing is mandatory to avoid life-threatening complications and irreversible damages.http://irjns.org/article-1-232-en.pdfcraniofacial penetratingforeign bodycomputed tomographyextractioninfection
spellingShingle Youssef Fahde
Davis Mpando
Mehdi Laghmari
Houssine Ghannane
Said Aitbenali
Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
Iranian Journal of Neurosurgery
craniofacial penetrating
foreign body
computed tomography
extraction
infection
title Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
title_full Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
title_fullStr Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
title_full_unstemmed Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
title_short Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report
title_sort penetrating orbitocranial injury with a good aesthetic and functional outcome a case report
topic craniofacial penetrating
foreign body
computed tomography
extraction
infection
url http://irjns.org/article-1-232-en.pdf
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AT houssineghannane penetratingorbitocranialinjurywithagoodaestheticandfunctionaloutcomeacasereport
AT saidaitbenali penetratingorbitocranialinjurywithagoodaestheticandfunctionaloutcomeacasereport