Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature

Figure 1

Head CT scan demonstrated a bamboo stick (hollow arrow, ) penetrating into the temporal lobe via superior orbital fissure. The bamboo stick presented as high density on the CT scan (a, b, c). Contrast enhanced MRI revealed an abscess (simple arrow, ←) around the bamboo stick in temporal lobe (d, e, f). 3D reconstruction of the skull, cerebral artery, and bamboo stick (hollow arrow, ) was performed by 3D Slicer software to visualize the relationship among these structures (g). Intraoperative photography (h) displayed the bamboo stick in original place (o, orbital side; f, frontal side; t, temporal side). Photography showed the removed bamboo stick (i). 3D, three-dimensional; CT, computed tomography; MRI, magnetic resonance imaging.

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