Orbitocranial penetration by a fern: case report
Cranial and orbitocranial penetration by organic foreign material is not infrequent. It is important to identify whether penetration has occurred and to localize and remove the organic foreign material. We report a 15-month-old patient who suffered orbitocranial penetration with the stem of a fern....
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| Veröffentlicht in: | Neurosurgery 1998-06, Vol.42 (6), p.1370-1373 |
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| creator | Kahler, R J Tomlinson, F H Eisen, D P Masel, J P |
| description | Cranial and orbitocranial penetration by organic foreign material is not infrequent. It is important to identify whether penetration has occurred and to localize and remove the organic foreign material.
We report a 15-month-old patient who suffered orbitocranial penetration with the stem of a fern. The stem passed through the orbit, exiting via the superior orbital fissure. It continued through the middle cranial fossa to end in the posterior cranial fossa.
The patient underwent surgery, and a modified Dolenc procedure was performed. The foreign body was identified in the prepontine cistern and was removed. An extradural approach was performed to the cavernous sinus and superior orbital fissure, and the remaining foreign body was removed.
Retained intracranial wood should be removed. The radiological diagnosis can be difficult, and magnetic resonance imaging is the investigation of choice. Magnetic resonance imaging may not detect some cases of organic foreign material penetration. |
| doi_str_mv | 10.1097/00006123-199806000-00108 |
| format | Article |
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We report a 15-month-old patient who suffered orbitocranial penetration with the stem of a fern. The stem passed through the orbit, exiting via the superior orbital fissure. It continued through the middle cranial fossa to end in the posterior cranial fossa.
The patient underwent surgery, and a modified Dolenc procedure was performed. The foreign body was identified in the prepontine cistern and was removed. An extradural approach was performed to the cavernous sinus and superior orbital fissure, and the remaining foreign body was removed.
Retained intracranial wood should be removed. The radiological diagnosis can be difficult, and magnetic resonance imaging is the investigation of choice. Magnetic resonance imaging may not detect some cases of organic foreign material penetration.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1097/00006123-199806000-00108</identifier><identifier>PMID: 9632198</identifier><language>eng</language><publisher>United States</publisher><subject>Accidental Falls ; Anti-Bacterial Agents - therapeutic use ; Brain Injuries - etiology ; Carotid Artery, Internal - diagnostic imaging ; Cerebral Angiography ; Cerebrospinal Fluid - microbiology ; Eye Foreign Bodies - diagnostic imaging ; Eye Foreign Bodies - etiology ; Eye Foreign Bodies - surgery ; Humans ; Infant ; Magnetic Resonance Imaging ; Orbit - injuries ; Plants ; Tomography, X-Ray Computed ; Wounds, Penetrating - diagnosis ; Wounds, Penetrating - diagnostic imaging ; Wounds, Penetrating - etiology</subject><ispartof>Neurosurgery, 1998-06, Vol.42 (6), p.1370-1373</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-4f7f2449f69fced0447127f6975eb5f1340b5aa466f3bdd2f4fbbb9275a4a4dc3</citedby><cites>FETCH-LOGICAL-c310t-4f7f2449f69fced0447127f6975eb5f1340b5aa466f3bdd2f4fbbb9275a4a4dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9632198$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kahler, R J</creatorcontrib><creatorcontrib>Tomlinson, F H</creatorcontrib><creatorcontrib>Eisen, D P</creatorcontrib><creatorcontrib>Masel, J P</creatorcontrib><title>Orbitocranial penetration by a fern: case report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Cranial and orbitocranial penetration by organic foreign material is not infrequent. It is important to identify whether penetration has occurred and to localize and remove the organic foreign material.
We report a 15-month-old patient who suffered orbitocranial penetration with the stem of a fern. The stem passed through the orbit, exiting via the superior orbital fissure. It continued through the middle cranial fossa to end in the posterior cranial fossa.
The patient underwent surgery, and a modified Dolenc procedure was performed. The foreign body was identified in the prepontine cistern and was removed. An extradural approach was performed to the cavernous sinus and superior orbital fissure, and the remaining foreign body was removed.
Retained intracranial wood should be removed. The radiological diagnosis can be difficult, and magnetic resonance imaging is the investigation of choice. Magnetic resonance imaging may not detect some cases of organic foreign material penetration.</description><subject>Accidental Falls</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Brain Injuries - etiology</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Cerebral Angiography</subject><subject>Cerebrospinal Fluid - microbiology</subject><subject>Eye Foreign Bodies - diagnostic imaging</subject><subject>Eye Foreign Bodies - etiology</subject><subject>Eye Foreign Bodies - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Magnetic Resonance Imaging</subject><subject>Orbit - injuries</subject><subject>Plants</subject><subject>Tomography, X-Ray Computed</subject><subject>Wounds, Penetrating - diagnosis</subject><subject>Wounds, Penetrating - diagnostic imaging</subject><subject>Wounds, Penetrating - etiology</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMFKAzEQhoMotVYfQdiTt-gkmSQbb1KsCoVeFLyFZDeBle3ummwPfXtXWzuX4Yfvn4GPkILBPQOjH2AaxbigzJgS1JQoAIPyjMyZ5EgREM7JHBiWVBj1eUmucv6aEIW6nJGZUYIzU84JbJJvxr5KrmtcWwyhC2NyY9N3hd8XroghdY9F5XIoUhj6NF6Ti-jaHG6Oe0E-Vs_vy1e63ry8LZ_WtBIMRopRR45oojKxCjUgasb1lLQMXkYmELx0DpWKwtc1jxi994Zr6dBhXYkFuTvcHVL_vQt5tNsmV6FtXRf6XbbaGJTI5QSWB7BKfc4pRDukZuvS3jKwv7Lsvyx7kmX_ZE3V2-OPnd-G-lQ82hE_31dkQw</recordid><startdate>199806</startdate><enddate>199806</enddate><creator>Kahler, R J</creator><creator>Tomlinson, F H</creator><creator>Eisen, D P</creator><creator>Masel, J P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199806</creationdate><title>Orbitocranial penetration by a fern: case report</title><author>Kahler, R J ; Tomlinson, F H ; Eisen, D P ; Masel, J P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c310t-4f7f2449f69fced0447127f6975eb5f1340b5aa466f3bdd2f4fbbb9275a4a4dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Accidental Falls</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Brain Injuries - etiology</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Cerebral Angiography</topic><topic>Cerebrospinal Fluid - microbiology</topic><topic>Eye Foreign Bodies - diagnostic imaging</topic><topic>Eye Foreign Bodies - etiology</topic><topic>Eye Foreign Bodies - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Magnetic Resonance Imaging</topic><topic>Orbit - injuries</topic><topic>Plants</topic><topic>Tomography, X-Ray Computed</topic><topic>Wounds, Penetrating - diagnosis</topic><topic>Wounds, Penetrating - diagnostic imaging</topic><topic>Wounds, Penetrating - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kahler, R J</creatorcontrib><creatorcontrib>Tomlinson, F H</creatorcontrib><creatorcontrib>Eisen, D P</creatorcontrib><creatorcontrib>Masel, J P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kahler, R J</au><au>Tomlinson, F H</au><au>Eisen, D P</au><au>Masel, J P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Orbitocranial penetration by a fern: case report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1998-06</date><risdate>1998</risdate><volume>42</volume><issue>6</issue><spage>1370</spage><epage>1373</epage><pages>1370-1373</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>Cranial and orbitocranial penetration by organic foreign material is not infrequent. It is important to identify whether penetration has occurred and to localize and remove the organic foreign material.
We report a 15-month-old patient who suffered orbitocranial penetration with the stem of a fern. The stem passed through the orbit, exiting via the superior orbital fissure. It continued through the middle cranial fossa to end in the posterior cranial fossa.
The patient underwent surgery, and a modified Dolenc procedure was performed. The foreign body was identified in the prepontine cistern and was removed. An extradural approach was performed to the cavernous sinus and superior orbital fissure, and the remaining foreign body was removed.
Retained intracranial wood should be removed. The radiological diagnosis can be difficult, and magnetic resonance imaging is the investigation of choice. Magnetic resonance imaging may not detect some cases of organic foreign material penetration.</abstract><cop>United States</cop><pmid>9632198</pmid><doi>10.1097/00006123-199806000-00108</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Neurosurgery, 1998-06, Vol.42 (6), p.1370-1373 |
| issn | 0148-396X 1524-4040 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Accidental Falls Anti-Bacterial Agents - therapeutic use Brain Injuries - etiology Carotid Artery, Internal - diagnostic imaging Cerebral Angiography Cerebrospinal Fluid - microbiology Eye Foreign Bodies - diagnostic imaging Eye Foreign Bodies - etiology Eye Foreign Bodies - surgery Humans Infant Magnetic Resonance Imaging Orbit - injuries Plants Tomography, X-Ray Computed Wounds, Penetrating - diagnosis Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - etiology |
| title | Orbitocranial penetration by a fern: case report |
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