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Penetrating brain injury through the cavernous sinus by chopsticks in Vienamese: a case report. | LitMetric

AI Article Synopsis

  • Penetrating brain injuries from chopsticks are extremely uncommon, often only seen in specific case reports, and require customized management to avoid complications.
  • A 33-year-old male had a chopstick lodged in his eye, and it was successfully removed through a collaborative surgical effort by neurosurgeons and ophthalmologists, confirming the patient’s stability after one month.
  • Such injuries typically risk damage to brain structures, making advanced imaging techniques essential for diagnosis and surgical procedures crucial for effective treatment and recovery.

Article Abstract

Introduction And Importance: Penetrating brain injuries from chopsticks are exceedingly rare, often documented through case reports. Management strategies are tailored to individual cases, with a focus on mitigating postoperative complications.

Case Presentation: A 33-year-old male presented with a chopstick lodged in his right eye. Computed tomography (CT) imaging revealed two foreign bodies, prompting collaborative surgical removal by neurosurgery and ophthalmology teams. The procedure involved intricate bone drilling to access critical structures, ensuring a successful outcome with stability at 1-month follow-up.

Clinical Discussion: Common trajectories involve orbital roof penetration, posing risks of frontal lobe injury and intracerebral hematoma. Challenges arise with wooden foreign bodies, necessitating advanced imaging like CT angiography to assess vascular involvement. Surgical intervention offers benefits such as foreign body extraction, neurovascular protection, tissue debridement, hematoma evacuation, and dural repair.

Conclusion: Although rare, chopstick-related penetrating brain injuries warrant vigilance in neurosurgical practice. Surgical intervention remains the cornerstone of treatment, ensuring optimal patient outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374309PMC
http://dx.doi.org/10.1097/MS9.0000000000002389DOI Listing

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