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首页> 外文期刊>Brain injury: BI >The surgical management of a penetrating orbitocranial injury with a Bakelite foreign body reaching the brain stem
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The surgical management of a penetrating orbitocranial injury with a Bakelite foreign body reaching the brain stem

机译：渗透胰腺癌损伤的手术管理与秃头异物到达脑干

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摘要

Background: Penetrating orbital injuries constitute a significant threat to ocular and cerebral structures. The incidence of central nervous system damage from orbital injury is related to the orbital anatomy and the characteristics of the penetrating object. Penetrating orbital injuries involving the brain stem are extremely rare. Objectives: To present an uncommon case of penetrating orbital injury and to discuss surgical management. Case study: A patient suffered from a penetrating injury by a Bakelite comb which extended from his left orbit through the cavernous sinus to the pons. Complete occlusion of the left cavernous segment of the internal carotid artery was detected and a frontotemporal craniotomy with lateral superior orbitotomy was performed to remove the object. A delayed asymptomatic carotid-cavernous fistula was identified 1 year later. Conclusion: Surgical treatment remains the mainstay of intervention for penetrating orbitocranial injuries. The rationale of surgical removal of a foreign body should focus on safe exposure and removal of the object at the earliest without inflicting further injuries. Close follow-up for a delayed carotid-cavernous fistula is necessary.
机译：背景：渗透眶损伤构成对眼和脑结构的重大威胁。中枢神经系统损伤的眶损伤的发病率与眶侧解剖和渗透物体的特征有关。涉及脑干的穿透眶损是极为罕见的。目标：展示一个难以常见的眶损伤和讨论手术管理。案例研究：患者患有一只胶木梳子的抗渗伤，这些梳子通过左侧轨道延伸到圆形窦上。检测到内部颈动脉的左侧海绵状片段的完全闭塞，并进行横向上胰腺癌的额定动脉瘤以除去物体。 1年后鉴定了延迟的无症状颈外瘘。结论：手术治疗仍然是渗透胰腺癌伤害的干预的主干。外科手术移除的基本原理应重点关注最早的安全暴露和去除物体，而不会造成进一步的伤害。延迟颈动脉瘘的紧密跟进是必要的。

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  • 来源
    《Brain injury: BI》 |2013年第8期|共6页
  • 作者

    XuF.; LiJ.; SunS.; GuoE.; HaoS.; HouZ.; LeungG.K.K.; LiuB.;

  • 作者单位

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

    Department of Neuroradiology Beijing Tiantan Hospital Capital Medical University Beijing China;

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

    Department of Surgery Li Ka Shing Faculty of Medicine University of Hong Kong Pokfulam Hong;

    Department of Neurosurgery Beijing Tiantan Hospital Capital Medical University Tiantan Xili 6;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 头部及神经外科学;
  • 关键词

    Bakelite; Brain injury; Brain stem; Carotid-cavernous fistula; Penetrating orbitocranial injury;

    机译：胶木;脑损伤;脑干;颈动脉腔;渗透胰腺癌伤害;

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