Surgical treatment of a transorbital penetrating brain injury

rgical treatment of a transorbital penetrating brain injury Case report (3999) Total Article Views Authors: Wellingson Silva Paiva, Bernardo Monaco, Marcelo Prudente, et al Published Date September 2010 Volume 2010:4 Pages 1103 - 1105 DOI: http://dx.doi.org/10.2147/OPTH.S9638 Wellingson Silva Paiva, Bernardo Monaco, Marcelo Prudente, Matheus Schimidt Soares, Robson Luis Oliveira de Amorim, Almir Ferreira de Andrade, Manoel Jacobsen Teixeira Division of Neurosurgery, Hospital Das Clinicas University of Sao Paulo Medical School, Sao Paulo, Brazil Abstract: Penetrating injury of the skull and brain are relatively uncommon events, representing about 0.4% of all head injuries. Transorbital penetrating brain injury is an unusual occurrence in emergency practice and presents with controversial management. We report the case of a 10-year-old boy who fell forward on a bamboo stick while playing with other children, causing a penetrating transorbital injury, resulting in meningitis. We performed a combined surgical approach with neurosurgeons and ophthalmogic surgeons. Upon discharge, the patient had a Glasgow Coma Scale score of 15, no motor deficit and no visual loss. We discuss the management of this case and review current literature.