关键词: Brain injury Eyelid hematoma Impalement injury Perforating eye trauma Subconjunctival hemorrhage Transorbital foreign body

来  源:   DOI:10.1016/j.radcr.2022.01.045   PDF(Pubmed)

Abstract:
Impalement injuries are infrequent yet tend to be life-threatening. Transorbital penetration by foreign bodies represents a peculiar form of traumatic brain injury. However, much is at stake with the high risk of neurological and ophthalmic impairment. We narrate an unusual case of a riding crop penetrating the eye of a 10-year-old girl who presented to our hospital after a fall and an episode of syncope while at a riding stable. Magnetic resonance imaging detected an extended passage-like signal in the right-sided part of the pons and the cerebral peduncles extending to the right cerebellar hemisphere. The patient exhibited marginal clinical symptoms. This case was unsurpassed, as despite the horizontal course of the riding crop perforating the osseous structures and penetrating the brain, it resulted in manageable symptoms, which resolved in a matter of weeks.
摘要:
刺伤很少发生,但往往会危及生命。异物的跨山梨醇渗透代表了一种特殊形式的创伤性脑损伤。然而,神经和眼科损害的高风险危在旦夕。我们讲述了一个不寻常的案例,一个骑马的作物穿透了一个10岁女孩的眼睛,她在跌倒和在马stable时晕厥发作后出现在我们医院。磁共振成像在脑桥的右侧部分和延伸到右小脑半球的脑梗中检测到延伸的通道状信号。患者表现出边缘临床症状。这个案子是无与伦比的,尽管骑乘作物的水平过程穿透了骨结构并穿透了大脑,它导致了可控的症状,在几周内解决。
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