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KMID : 1103720110650050447
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Journal of the Korean Society of Radiology
2011 Volume.65 No. 5 p.447 ~ p.450
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Massive Subarachnoid Pneumocephalus due to Transorbital Intracranial Penetrating Injury: A Case Report
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Kwak Soon-Hyuk
Lee Seung-Young
Cha Sang-Hoon
Kang Min-Ho
Cho Beum-Sang
Han Gi-Seok
Park Kil-Sun
Kim Sung-Jin
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Abstract
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A transorbital intracranial injury is a rare penetrating injury that can cause severe damage to orbital and cerebral structures. We report the case of a 53-year-old woman with massive subarachnoid pneumocephalus caused by a transorbital penetrating injury. She presented to our hospital with ocular pain after she accidently pierced her left eye with a steel wire while fixing a plant in a pot. A physical examination did not show any neurologic deficit. A brain CT showed a massive subarachnoid pneumocephalus with minimal intracranial hemorrhage and a 3D-reconstructed CT image showing a fracture at the pneumatized anterior clinoid process. A follow-up brain CT scan performed 10 days later revealed that the pneumocephalus and intracranial hemorrhage had completely resolved. The patient recovered without any complications.
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KEYWORD
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Pneumocephalus , Transorbital Penetration , Anterior Clinoid Process
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