Non-Surgical Management and Partial Recovery of a 19-Year-Old with Low-Speed Transorbital Penetrating Brain Injury Article Swipe
Martin Moïse
,
Frédérique Depierreux
,
Laurent Médart
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.12659/ajcr.943995
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.12659/ajcr.943995
BACKGROUND Clinical management of intracranial transorbital penetrating injury (TOPI) is challenging and may require surgery. Both the trauma and surgery can result in neurovascular damage, bleeding, and infection. Low-speed injury may involve the superior orbital fissure (SOF) as the main point of entry into the skull and is associated with lower morbidity than high-speed injuries. This report describes a 19-year-old man with pontine and left cerebellar involvement from a TOPI with partial recovery without surgery. CASE REPORT We hereby report the case of a 19-year-old man who underwent a low-speed in-out (as the foreign body was immediately retrieved) deep transorbital pontine and left cerebellar penetrating injury. Despite transient loss of consciousness, his Glasgow Coma Scale at admission was 15. An intravenous antibiotic regimen was rapidly initiated. He had ophthalmic (V1) et maxillary (V2) nerves palsy, minor right pyramidal syndrome, and left kinetic cerebellar syndrome. Multi-modal imaging perfectly correlated with the clinical presentation. Neither surgical nor angiographic management was required. Clinical evolution was favorable, and the patient partially recovered. CONCLUSIONS In case of penetration through the SOF, the clinical course tends to be benign. However, this case should not overshadow potential life-threatening complications of TOPIs. This report highlights the importance of a multidisciplinary approach for the diagnosis and management of traumatic transorbital penetrating intracranial injury. As illustrated, medical imaging may demonstrate the exact pathway of the offending object.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.12659/ajcr.943995
- https://amjcaserep.com/download/inPress/idArt/943995
- OA Status
- hybrid
- References
- 1
- Related Works
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- OpenAlex ID
- https://openalex.org/W4403435453
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403435453Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.12659/ajcr.943995Digital Object Identifier
- Title
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Non-Surgical Management and Partial Recovery of a 19-Year-Old with Low-Speed Transorbital Penetrating Brain InjuryWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-15Full publication date if available
- Authors
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Martin Moïse, Frédérique Depierreux, Laurent MédartList of authors in order
- Landing page
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https://doi.org/10.12659/ajcr.943995Publisher landing page
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https://amjcaserep.com/download/inPress/idArt/943995Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://amjcaserep.com/download/inPress/idArt/943995Direct OA link when available
- Concepts
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Medicine, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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1Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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