Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
Aki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accid...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2011-07-01
|
| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/ophthalmoplegia-associated-with-transorbital-penetrating-brainstem-inj-a7827 |
| _version_ | 1818751647301500928 |
|---|---|
| author | Kaneko-Ohtaki A Machida S Sugawara T Kurosaka D |
| author_facet | Kaneko-Ohtaki A Machida S Sugawara T Kurosaka D |
| author_sort | Kaneko-Ohtaki A |
| collection | DOAJ |
| description | Aki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accidentally injured by a broken fishing fiberglass pole which penetrated through the right orbit and entered the brainstem. Magnetic resonance imaging showed a linear wound that entered and passed through the pons obliquely and reached the fourth cerebral ventricle and cerebellar vermis. He had a left-sided hemiplegia and left facial nerve palsy and was diagnosed with “one-and-a-half syndrome”. His hemiplegia and left facial nerve palsy resolved in 2 weeks leaving only a left abducens nerve palsy. The eye position and eye movements fully recovered within 3 months. These findings suggest a good prognosis for this type of trauma unless life-threatening changes develop.Keywords: penetrating orbitocranial trauma, trauma, penetrating orbitocranial injury |
| first_indexed | 2024-12-18T04:38:53Z |
| format | Article |
| id | doaj.art-cc174e0bdec941f098a0427dc6712102 |
| institution | Directory Open Access Journal |
| issn | 1177-5467 1177-5483 |
| language | English |
| last_indexed | 2024-12-18T04:38:53Z |
| publishDate | 2011-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-cc174e0bdec941f098a0427dc67121022022-12-21T21:20:46ZengDove Medical PressClinical Ophthalmology1177-54671177-54832011-07-012011default927929Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing poleKaneko-Ohtaki AMachida SSugawara TKurosaka DAki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accidentally injured by a broken fishing fiberglass pole which penetrated through the right orbit and entered the brainstem. Magnetic resonance imaging showed a linear wound that entered and passed through the pons obliquely and reached the fourth cerebral ventricle and cerebellar vermis. He had a left-sided hemiplegia and left facial nerve palsy and was diagnosed with “one-and-a-half syndrome”. His hemiplegia and left facial nerve palsy resolved in 2 weeks leaving only a left abducens nerve palsy. The eye position and eye movements fully recovered within 3 months. These findings suggest a good prognosis for this type of trauma unless life-threatening changes develop.Keywords: penetrating orbitocranial trauma, trauma, penetrating orbitocranial injuryhttp://www.dovepress.com/ophthalmoplegia-associated-with-transorbital-penetrating-brainstem-inj-a7827 |
| spellingShingle | Kaneko-Ohtaki A Machida S Sugawara T Kurosaka D Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole Clinical Ophthalmology |
| title | Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| title_full | Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| title_fullStr | Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| title_full_unstemmed | Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| title_short | Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| title_sort | ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
| url | http://www.dovepress.com/ophthalmoplegia-associated-with-transorbital-penetrating-brainstem-inj-a7827 |
| work_keys_str_mv | AT kanekoohtakia ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT machidas ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT sugawarat ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT kurosakad ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole |