Traumatic encephalocele related to orbital roof fractures: report of six cases and literature review

Surgical Neurology
V AntonelliF Servadei

Abstract

Orbital roof fractures after blunt injury are rare. Traumatic encephaloceles in the orbital cavity are even rarer, with only 15 cases published to date. The clinical, radiological, and surgical findings of 6 cases of traumatic encephalocele treated at our institution from June 1998 to January 2000 are presented. They are also compared with previously published series. In contrast to other published cases, 5 out of 6 patients in our series were adults. The most common cause of trauma was road traffic accident. Ecchymosis and preoperative exophthalmos/proptosis were frequent. In all of our patients a coronal CT scan (3 mm increments with bone windows) was obtained. It demonstrated the extension of the orbital roof fractures and a possible encephalocele in 4 cases. Associated frontal brain contusions were seen in 5 cases. An MRI was performed in 3 patients (and only in 2 previously published cases); it showed the extension of the brain herniation into the orbital cavity. Surgical treatment via a fronto-basal approach with evacuation of the contused herniated brain tissue and orbital roof reconstruction was performed. The outcome at 6 months was good recovery in five patients with one patient still in a persistent vegetative state....Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jan 1, 1975·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·G M BleekerH J Peeters
Nov 1, 1989·Journal of Computer Assisted Tomography·P A ChiricoJ W Karesh
Apr 1, 1989·Ophthalmology·M J GreenwaldM A Radkowski
Aug 1, 1989·Plastic and Reconstructive Surgery·A MessingerJ M Pensler
Jan 1, 1989·Neurosurgical Review·W P SollmannH Dietz
Sep 1, 1987·Journal of Computer Assisted Tomography·W A WagleG W Wood
Aug 1, 1986·The British Journal of Ophthalmology·R M Dryden, A E Wulc
Jun 1, 1985·Journal of Neurosurgery·P A SibonyA G Zippen
Nov 1, 1982·Ophthalmology·D L McLachlanG M Shannon
May 1, 1982·Ophthalmology·R L AndersonC E Gross
Apr 1, 1980·Ophthalmology·J C FlanaganG M Shannon
Jan 1, 1993·Neuroradiology·L ManfrèV Albanese
Jan 1, 1994·Surgical Neurology·M A BayarC Gökçek
Jan 7, 1998·Seminars in Ultrasound, CT, and MR·M Rothman
May 1, 1997·Pediatric Neurosurgery·D J DonahueW M Chadduck
Feb 9, 1999·Plastic and Reconstructive Surgery·C T ChenR J Rohrich
Sep 4, 1997·Current Opinion in Ophthalmology·M A Cepela, C E George
Apr 15, 1999·Pediatric Neurosurgery·R K KoçH Akdemir
Aug 10, 2000·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·H R JinY S Choi
Jul 1, 1951·A.M.A. Archives of Ophthalmology·A B KING
Jul 25, 2006·Neurosurgical Focus·K SalameG E Ouaknine
Feb 11, 2012·Emergency Radiology·Charlotte Derr, Ankit Shah

❮ Previous
Next ❯

Citations

Mar 2, 2013·Craniomaxillofacial Trauma & Reconstruction·Nitin J Mokal, Mahinoor F Desai
Dec 3, 2010·Plastic and Reconstructive Surgery·Jordan C Deschamps-BralyPaul N Manson
Jan 1, 2009·BMJ Case Reports·M K M AdamsM A Majid
Dec 19, 2013·Journal of Neurosciences in Rural Practice·Manish JaiswalR S Mittal
Jan 13, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Byeong Ho OhYoung Seok Park
Mar 1, 2008·Neuro-Chirurgie·V Duhem-TonnelleR Assaker
Feb 26, 2016·Orbit·Leslie A WeiMark J Lucarelli
Apr 25, 2015·Current Problems in Diagnostic Radiology·Shivani PahwaSaurabh Agrawal
Jul 9, 2013·Clinical Neurology and Neurosurgery·Loyola V GressotShankar P Gopinath
Jan 6, 2011·Neurologia Medico-chirurgica·Hirofumi MoriharaTakao Hatakeyama
Sep 18, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Siddharth VankipuramSushant Sahoo
Aug 14, 2015·Craniomaxillofacial Trauma & Reconstruction·Felicity Victoria ConnonA L Nastri
Feb 18, 2017·Craniomaxillofacial Trauma & Reconstruction·Austin Y HaStephen R Sullivan
Feb 13, 2020·The Journal of Craniofacial Surgery·Giorgio LofreseFrancesco Cultrera
Mar 13, 2014·Ophthalmic Plastic and Reconstructive Surgery·Eric M HinkVikram D Durairaj
Aug 12, 2020·Facial Plastic Surgery & Aesthetic Medicine·Jordyn P LucasMichael Carron
Jan 11, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David DreizinFelipe Munera
May 26, 2018·Neuro-ophthalmology·Tyler Moore, Kenn Freedman
Nov 2, 2016·BJR Case Reports·Abhinav AggarwalAakriti Kapoor Aggarwal
Jun 18, 2016·The Journal of Craniofacial Surgery·Zafer Orkun ToktaşTürker Kiliç
Jul 5, 2017·Frontiers in Neurology·Anouke van RumundWim I M Verhagen
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Yuta MoriwakiMutsumi Okazaki
Dec 29, 2020·Plastic and Reconstructive Surgery·Selim G GebranMichael P Grant
May 3, 2021·International Journal of Oral and Maxillofacial Surgery·N Callahan, L Moles
Oct 2, 2021·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Andrew MelsonR Michael Siatkowski
Oct 5, 2018·Asian Journal of Neurosurgery·Saravanan Sadashivam

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.