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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e239-e241
DOI: 10.1055/s-0033-1348349
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgical Management of Basilar Artery Laceration Caused by Transorbital Penetrating Injury: Case Report

Christopher Brenke
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Johann Fontana
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Kirsten Schmieder
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
,
Martin Barth
1   Department of Neurosurgery, Knappschafts-Krankenhaus Bochum-Langendreer, Ruhr-University of Bochum, Bochum, Germany
› Author Affiliations
Further Information

Publication History

24 October 2012

04 March 2013

Publication Date:
16 August 2013 (online)

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Abstract

Transorbital penetrating injuries are rare and present with a heterogeneity of intracranial injury patterns that require individualized therapeutic procedures. In this report, we describe the case of a distal basilar artery laceration in a 16-month-old boy caused by accidental transorbital penetration with a pencil. Surgical removal of the pencil was performed, but hemostasis could only be achieved by clipping the impaired vessel. Adequate diagnostics and an individualized surgical strategy are necessary to deal with these life-threatening injuries.

Keywords

basilar artery - transorbital injury - surgical management
 

  • References

  • 1 Chibbaro S, Tacconi L. Orbito-cranial injuries caused by penetrating non-missile foreign bodies. Experience with eighteen patients. Acta Neurochir (Wien) 2006; 148 (9) 937-941 , discussion 941–942
    CrossrefPubMedGoogle Scholar
  • 2 Turbin RE, Maxwell DN, Langer PD , et al. Patterns of transorbital intracranial injury: a review and comparison of occult and non-occult cases. Surv Ophthalmol 2006; 51 (5) 449-460
    CrossrefPubMedGoogle Scholar
  • 3 Schreckinger M, Orringer D, Thompson BG, La Marca F, Sagher O. Transorbital penetrating injury: case series, review of the literature, and proposed management algorithm. J Neurosurg 2011; 114 (1) 53-61
    CrossrefPubMedGoogle Scholar
  • 4 Kubal WS. Updated imaging of traumatic brain injury. Radiol Clin North Am 2012; 50 (1) 15-41
    CrossrefPubMedGoogle Scholar
  • 5 Cunningham EJ, Albani B, Masaryk TJ, Rasmussen PA. Temporary balloon occlusion of the cavernous carotid artery for removal of an orbital and intracranial foreign body: case report. Neurosurgery 2004; 55 (5) 1225
    CrossrefPubMedGoogle Scholar
  • 6 Englot DJ, Laurans MS, Abbed K, Bulsara KR. Removal of nail penetrating the basilar artery. Neurosurg Rev 2010; 33 (4) 501-504
    CrossrefPubMedGoogle Scholar
  • 7 Anson JA, Lawton MT, Spetzler RF. Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms. J Neurosurg 1996; 84 (2) 185-193
    CrossrefPubMedGoogle Scholar
  • 8 Lanzino G, diPierro CG, Laws Jr ER. Sutureless repair of major intracranial vessels with the Sundt clip-graft: technical note. Acta Neurochir (Wien) 1998; 140 (5) 491-493
    CrossrefPubMedGoogle Scholar
  • 9 Nussbaum ES, Janjua TM, Defillo A, Lowary JL, Nussbaum LA. Emergency extracranial-intracranial bypass surgery for acute ischemic stroke. J Neurosurg 2010; 112 (3) 666-673
    CrossrefPubMedGoogle Scholar