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Indian Journal of Neurotrauma 2014; 11(01): 49-52
DOI: 10.1016/j.ijnt.2013.10.007
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Trans-orbital penetrating head injury (TOPHI): Short series of two cases with review of literature

Guru Dutta Satyarthee
a   Associate Professor, Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi 110029, India
,
Pankaj Dawar
b   Senior Resident, Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi 110029, India
,
Sachin A. Borkar
c   Assistant Professor, Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi 110029, India
,
Bhawani Shankar Sharma
d   Professor and Head, Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi 110029, India
› Author Affiliations
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Further Information

Publication History

22 February 2013

23 October 2013

Publication Date:
06 April 2017 (online)

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Abstract

Penetrating head injury of brain is uncommon form of external compound injury account for nearly 0.4% of head injuries. Transorbital penetrating head injuries (TOPHI) are still rarer Authors report two cases, first reported immediately caused by ceramic stone while second after lapse of three months following injury due to wooden twig, both underwent surgery with removal of foreign body with good outcome. Proper clinical history, examination and CT scan to evaluate trajectory and CT angiography to assess vascular anatomy are prerequisite for proper planning and management. Management of such cases and pertinent literature is reviewed.

Keywords

Penetrating injury - Transorbital injury - Skull base - Cranio-cerebral injury
 

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