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|Year : 2020 | Volume
| Issue : 6 | Page : 1502-1503
Kokkula Praneeth1, Rekapalli Rajasekhar2, Ashish Aggarwal3, Parth Jani3, Navneet Singla3
1 Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
2 Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
3 Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
|Date of Web Publication||19-Dec-2020|
Dr. Ashish Aggarwal
Department of Neurosurgery, PGIMER, Chandigarh - 160 012
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Praneeth K, Rajasekhar R, Aggarwal A, Jani P, Singla N. Intracranial Eye. Neurol India 2020;68:1502-3
A 15-year-old boy suffered trauma to head and face when a high-velocity projectile from farm tube well stuck him. The child was conscious and oriented with lacerations over face and herniating brain matter. The right eyeball was absent from the orbital cavity [Figure 1]a. NCCT head and orbit revealed a comminuted fracture of the frontal bone, ethmoids, and roof of orbit with hemorrhagic basifrontal contusion and right eyeball in the cranial cavity [Figure 1]b, [Figure 1]c, [Figure 1]d. The patient underwent enucleation of the right eyeball and anterior cranial fossa repair [Figure 1]e, [Figure 1]f. Systemic steroids were started in view of the risk of sympathetic ophthalmitis. The patient deteriorated in sensorium in the postoperative period. This was because of increasing venous edema due to possible superior sagittal sinus thrombosis. He underwent bifrontal craniectomy. The patient improved gradually and was discharged in a conscious state. The patient has been advised prosthetic eye. This case reiterates that the orbital cavity remains a potentially weak site for injury to orbital contents and brain. The etiology of injury, in this case, was unique.,
|Figure 1: (a) Photograph of the patient showing laceration over the forehead, right eyelid. Brain matter herniating through the frontal laceration. (b) NCCT head axial view showing the absence of eyeball in the right orbit. (c and d) NCCT Head coronal and sagittal view showing displaced right eyeball in the cranial cavity. (e) Intraoperative picture of the eyeball in the cranial cavity. (f) Postoperative NCCT head showing the area in frontal region from where eyeball was removed|
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| » References|| |
Aggarwal A, Batish A, Salunke P. Fatal transorbital penetrating injury to brain by the clutch lever of a bike. Neurol India 2019;67:617. doi: 10.4103/0028-3886.258053. PubMed PMID: 31085901.
Tripathi M, Varshney N, Batish A, Mohindra S. Eye in the brain. Neurol India 2018;66:883-4.
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