Ulus Travma Acil Cerrahi Derg. 2006; 12(3): 245-248

Penetran transorbital uzanýmlý intrakraniyal yabancý cisim

Erdinç Civelek, Salih Bilgiç, Serdar Kabataþ, Kemal Tanju Hepgül
Ýstanbul Üniversitesi, Ýstanbul Týp Fakültesi, Nöroþirürji Anabilim Dalý, Ýstanbul

Yedi yaþýnda erkek çocuk, sol gözüne sanayi tipi dikiþ makinesi iðnesinin batmasý þikayeti ile acil servise getirildi. Dikiþ iðnesi sol orbitadan girerek sfenoid kemiði delmiþ ve sol temporal lobun dura yapraklarý içine uzanmaktaydý. Cerrahi tedavi uygulanan olguda ameliyat sonrasý dönemde komplikasyon oluþmadý. Orbitadan girerek beyine kadar uzanan penetran yabancý cisimler intraserebral hematom, beyin apsesi, menenjit, beyin omurilik sývýsý (BOS) fistülü, proptosis, diplopi, orbital sellülit ve periorbital apse gibi komplikasyonlara neden olabilirler. Bu komplikasyonlarý önlemek için penetran transorbital uzanýmlý yabancý cisimler cerrahi yaklaþýmla çýkartýlmalýdýr.

Anahtar Kelimeler: Beyin, çocuk; gözkapaðý/yaralanma; ön lob/yaralanma; tomografi, X-ýþýný kompüterize; yaralanma, penetran/komplikasyon; orbita/yaralanma.

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Penetrating transorbital intracranial foreign body

Erdinç Civelek, Salih Bilgiç, Serdar Kabataþ, Kemal Tanju Hepgül
Department Of Neurosurgery, Ýstanbul University Ýstanbul Medical Faculty, Ýstanbul, Turkey

We report a seven year-old boy who suffered left orbital penetration of an industrial sewing machine needle. The needle passing through the left orbit and sphenoid bone at the posterior was extending into the layers of the dura of the left temporal lobe. In this patient, we preferred surgical approach and there was no complication after surgery. Penetrating intraorbital foreign materials with intracranial extension may lead to complications such as intracerebral hematoma, brain abscess, CSF fistula, proptosis of the eye, diplopia, orbital cellulitis and periorbital abscess. They have to be removed by surgical approach to prevent potential complications.

Keywords: Brain, child; eyelid/injuries; frontal lobe/injuries; tomography, X-Ray computed; wounds, penetrating/complications; orbit/injuries.

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