Retained foreign body in the orbit and cavernous sinus with delayed presentation of superior orbital fissure syndrome: case report

The Journal of Craniofacial Surgery
R JarrahyH K Shahinian

Abstract

Reports of delayed onset of neurological symptoms after penetrating intracranial trauma are rare. We present the case of a patient who presented with superior orbital fissure syndrome 72 hours after reported trauma to the right eye. Subsequent workup revealed a foreign body located within the orbit, passing through the superior orbital fissure and into cavernous sinus, impinging on the right cavernous carotid artery. Evidence of an intraorbital abscess was also present. Surgical management consisted of a combination of frontopterional and orbital approaches to fully expose both the cavernous sinus and the orbital contents. The foreign body was removed and the abscess was drained. The carotid artery was found to be intact. At 10-month follow-up examination, a slight ptosis and medial gaze of the right eye persist. All other symptoms have resolved.

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Citations

Jan 15, 2010·Srpski arhiv za celokupno lekarstvo·Milos JovanovićMilos Mirković
Aug 31, 2007·Brain Injury : [BI]·Mehmet TokdemirAbdurrahim Türkoğlu
Jul 21, 2011·The Journal of Craniofacial Surgery·Thiago de Santana SantosRogério Belle de Oliveira
Oct 12, 2005·Plastic and Reconstructive Surgery·SuRak EoKodi Azari
Nov 4, 2004·Current Opinion in Ophthalmology·Steven Yeh, Rod Foroozan
Jan 1, 2014·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A A PotapovS A Eolchiian
May 20, 2003·Srpski arhiv za celokupno lekarstvo·Milos JovanovićDragan Vuković

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