Intraorbital Foreign Body with Intracranial Extension Following Jogging Accident: A Case Report
Author: Karin Paschon
Base Hospital / Institution: University Hospital Bern
ePoster presentation
Abstract ID: 24-394
Purpose
Intraorbital foreign bodies with intracranial extension are rare but potentially life-threatening injuries. Such cases require prompt diagnosis and coordinated multidisciplinary management.
Methods
A 45-year-old female patient presented to our clinic after a jogging accident in which she fell into a bush. The patient had no clear recollection of the traumatic event and was unsure if there was a transient loss of consciousness. Upon examination, there was no light perception and complete ophthalmoplegia of the left eye. IOP, anterior and posterior segments revealed no pathology. The patient exhibited severe nausea and headache.Given the severe symptomatology and clinical findings, an emergency computed tomography (CT) scan was performed, revealing a broken branch lodged intraorbitally below the globe, extending into the neurocranium, with intracerebral air inclusions.
Results
The patient was in poor general condition upon presentation, and was immediately transferred to the intensive care unit (ICU) for further CT imaging and evaluation. Coordination of care with the neurosurgery department and the oculoplastic surgeon was initiated for surgical management of the intraorbital and intracranial foreign body. The foreign body was then successfully removed in the operation room (OR). After surgery, motility returned but the patient suffered complete vision loss in her left eye.
Conclusion
This case highlights the importance of prompt imaging and interdisciplinary coordination in managing complex cranio-orbital trauma. The unusual nature of the injury underscores the need for thorough initial assessment and timely intervention to optimize patient outcomes.
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