Türk Nöroşirürji Dergisi 2010 , Vol 20 , Num 2
A Mortal Case of Penetrating Orbitocranial Injury
Talat Cem OVALIOĞLU1, Ayşegül ÖZDEMİR OVALIOĞLU2, Cumhur KILINÇER3, Cavidan ARAR4, Mustafa Kemal HAMAMCIOĞLU5, Osman ŞİMŞEK6
1 Vakıf Gureba Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye
2 Başakşehir Devlet Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye
3,5,6 Trakya Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Edirne, Türkiye
4 Trakya Üniversitesi Tıp Fakültesi, Anestezi ve Reanimasyon Anabilim Dalı, Edirne, Türkiye
Direct neural tissue damage, dural injury and cerebrospinal liqueur fistula infection, hemorrhages occured both during the trauma and after the removal of foreign body, ischemic events, and raised intracranial pressure due to cerebral edema are the probable difficulties in penetrating orbitocranial injuries. Progressing microsurgical techniques, neuroanesthesia and intensive care applications have markedly decreased the mortality due to secondary injuries in head traumas. For all that, the severity and features of the injury sometimes render impossible a life saving surgery. A mortal case of orbitocranial injury is presented in this report. Surgical management of the case is extremely difficult and it is not certain whether there is an approach giving life chance. In these kind of cases, it may be required to introduce the approaches overseeing the individual properties of the case beyond the general principles and acknowledgment. Anahtar Kelimeler : Head trauma, Orbitocranial injury, Penetrating trauma