Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole

Aki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accid...

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Autores principales: Kaneko-Ohtaki A, Machida S, Sugawara T, Kurosaka D
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Lenguaje:EN
Publicado: Dove Medical Press 2011
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spelling oai:doaj.org-article:cc174e0bdec941f098a0427dc67121022021-12-02T06:17:09ZOphthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole1177-54671177-5483https://doaj.org/article/cc174e0bdec941f098a0427dc67121022011-07-01T00:00:00Zhttp://www.dovepress.com/ophthalmoplegia-associated-with-transorbital-penetrating-brainstem-inj-a7827https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Aki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accidentally injured by a broken fishing fiberglass pole which penetrated through the right orbit and entered the brainstem. Magnetic resonance imaging showed a linear wound that entered and passed through the pons obliquely and reached the fourth cerebral ventricle and cerebellar vermis. He had a left-sided hemiplegia and left facial nerve palsy and was diagnosed with “one-and-a-half syndrome”. His hemiplegia and left facial nerve palsy resolved in 2 weeks leaving only a left abducens nerve palsy. The eye position and eye movements fully recovered within 3 months. These findings suggest a good prognosis for this type of trauma unless life-threatening changes develop.Keywords: penetrating orbitocranial trauma, trauma, penetrating orbitocranial injuryKaneko-Ohtaki AMachida SSugawara TKurosaka DDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 927-929 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Kaneko-Ohtaki A
Machida S
Sugawara T
Kurosaka D
Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
description Aki Kaneko-Ohtaki, Shigeki Machida, Takeshi Sugawara, Daijiro KurosakaDepartment of Ophthalmology, Iwate Medical University School of Medicine, Iwate, JapanAbstract: We report our findings in a case of ophthalmoplegia caused by a transorbital penetrating brainstem injury. An 8-year-old boy was accidentally injured by a broken fishing fiberglass pole which penetrated through the right orbit and entered the brainstem. Magnetic resonance imaging showed a linear wound that entered and passed through the pons obliquely and reached the fourth cerebral ventricle and cerebellar vermis. He had a left-sided hemiplegia and left facial nerve palsy and was diagnosed with “one-and-a-half syndrome”. His hemiplegia and left facial nerve palsy resolved in 2 weeks leaving only a left abducens nerve palsy. The eye position and eye movements fully recovered within 3 months. These findings suggest a good prognosis for this type of trauma unless life-threatening changes develop.Keywords: penetrating orbitocranial trauma, trauma, penetrating orbitocranial injury
format article
author Kaneko-Ohtaki A
Machida S
Sugawara T
Kurosaka D
author_facet Kaneko-Ohtaki A
Machida S
Sugawara T
Kurosaka D
author_sort Kaneko-Ohtaki A
title Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
title_short Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
title_full Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
title_fullStr Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
title_full_unstemmed Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
title_sort ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/cc174e0bdec941f098a0427dc6712102
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AT sugawarat ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole
AT kurosakad ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole
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