Case Report

Transorbital Craniocerebral Occult Penetrating Injury with Cerebral Abscess Complication

Table 1

Summary of selected studies for transorbital craniocerebral penetrating injuries complicated by cerebral infection.

Author (year)Age (year)SexRoute of entry into cranial cavity Foreign body typeCerebral abscess location and infection type Surgical approach Outcome findings

Seider et al. (2006) [6] 1 Maleorbital roof Pencil tip (made of graphite) Frontal lobe abscess
Frontal burr hole and orbitotomyRight upper eyelid ptosis
Maruya et al. (2002) [7]56 FemaleLateral orbital wall Bamboo fragments Left temporal lobe abscess Left frontotemporal craniotomy and orbito-zygomatic osteotomy Slight left-eye lateral gaze limitation
Aulino et al. (2005) [8]35 MaleLeft middle cranial fossa FiberglassAnterior left temporal lobe Left pterional craniotomyNo neurologic deficit
Santoreneos et al. (1997) [9]12 MaleSuperior orbital fissure Wooden foreign body (tree branch)Medial aspect of the right temporal lobe
Right fronto-temporal craniotomy
Right eye loss of vision due to trauma, ptosis, and seizure
Matsuyama et al. (2001) [10]1 MaleSuperior orbital fissureChopstickPrepontine area
Right frontolateral craniotomy No neurological deficits
di Roio et al.(2000) [11]6 MaleOrbital roof ChopstickLeft frontal lobe
Abscess aspirationNo documented abnormalities
Rahman et al. (1997) [12] 30 MaleSuperior orbital fissureNail Meningitis Extradural pterional craniotomy
Right-eye blindness
Potapov et al. (1996) [13] 26 Male Medial orbital wallWooden foreign body Right temporal lobe Fronto-temporal craniotomyLoss of visual function; right-sided ptosis
Specht et al. (1992) [14]9 MaleOptic canal Wooden golf tee Meningitis Fronto-temporal craniotomy Some weakness of the face and extremities on the left side
Amano and Kamano (1982) [15]7 MaleSuperior orbital fissure Bamboo stem Meningitis and right cerebellar abscess No surgery only antibiotics Gradual reduction the cerebellar abscess size
Present case
5
Female
Orbital roof
Pen
Frontal lobe abscess
Transcutaneous upper eyelid approachMild right-eye ptosis