Xue H, Zhang WT, Wang GM, Shi L, Zhang YM, Yang HF. Transorbital nonmissile penetrating brain injury: Report of two cases. World J Clin Cases 2020; 8(2): 471-478 [PMID: 32047800 DOI: 10.12998/wjcc.v8.i2.471]
Corresponding Author of This Article
Hong-Fa Yang, MD, PhD, Professor, Department of Neurotraumatic Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, Jilin Province, China. yhf@jlu.edu.cn
Research Domain of This Article
Neurosciences
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2020; 8(2): 471-478 Published online Jan 26, 2020. doi: 10.12998/wjcc.v8.i2.471
Transorbital nonmissile penetrating brain injury: Report of two cases
Hang Xue, Wei-Tao Zhang, Guang-Ming Wang, Lin Shi, Yi-Ming Zhang, Hong-Fa Yang
Hang Xue, Wei-Tao Zhang, Guang-Ming Wang, Hong-Fa Yang, Department of Neurotraumatic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Lin Shi, Department of Neurosurgery, The Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun 130021, Jilin Province, China
Yi-Ming Zhang, Department of Neurosurgery, Qilu Hospital of Shandong University, Ji’nan 250002, Shandong Province, China
Author contributions: Yang HF contributed to case conceptualization; Xue H, Zhang WT, and Yang HF contributed to data curation; Yang HF contributed to funding acquisition; Zhang WT, Wang GM, and Zhang YM contributed to case investigation; Zhang WT, Shi L, and Yang HF contributed to resources; Wang GM contributed to software and visualization; Xue H contributed to manuscript drafting, review, and editing.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hong-Fa Yang, MD, PhD, Professor, Department of Neurotraumatic Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, Jilin Province, China. yhf@jlu.edu.cn
Received: October 25, 2019 Peer-review started: October 25, 2019 First decision: December 4, 2019 Revised: December 5, 2019 Accepted: December 22, 2019 Article in press: December 22, 2019 Published online: January 26, 2020 Processing time: 84 Days and 0.3 Hours
Abstract
BACKGROUND
Penetrating brain injury (PBI) is an uncommon emergency in neurosurgery, and transorbital PBI is a rare type of PBI. Reasonable surgical planning and careful postoperative management can improve the prognosis of patients
CASE SUMMARY
The first case is a 68-year-old male patient who was admitted to the hospital because a branch punctured his brain through the orbit for approximately 9 h after he unexpectedly fell while walking. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient was able to follow instructions at a 4-mo follow-up review. The other case is a 46-year-old male patient who was admitted to the hospital due to an intraorbital foreign body caused by a car accident, after which the patient was unconscious for approximately 6 h. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient could correctly answer questions at a 3-mo follow-up review.
CONCLUSION
Transorbital PBI is a rare and acute disease. Early diagnosis, surgical intervention, and application of intravenous antibiotics can improve the prognosis and quality of life of patients.
Core tip: Transorbital penetrating brain injury is a rare and acute disease. Early diagnosis, surgical intervention and application of intravenous antibiotics can improve the prognosis and quality of life of patients.
