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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Dove Medical Press
2011
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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) |
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Ophthalmology RE1-994 Kaneko-Ohtaki A Machida S Sugawara T Kurosaka D Ophthalmoplegia associated with transorbital penetrating brainstem injury by broken fishing pole |
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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 |
work_keys_str_mv |
AT kanekoohtakia ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT machidas ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT sugawarat ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole AT kurosakad ophthalmoplegiaassociatedwithtransorbitalpenetratingbrainsteminjurybybrokenfishingpole |
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1718400018529910784 |