
Penetrating transorbital cranio-cerebral windshield glass injury: report of two cases
Author(s) -
Rewati Raman Sharma,
Sujit S. Prabhu,
Harshad C. Parekh,
Andrew J Keogh,
Margaret G. Wong,
George Bertolis,
Dimitris Dardavesis
Publication year - 1993
Publication title -
morecambe bay medical journal
Language(s) - English
Resource type - Journals
eISSN - 2634-0631
pISSN - 1466-707X
DOI - 10.48037/mbmj.v1i12.1226
Subject(s) - medicine , pneumocephalus , windshield , surgery , cerebrospinal fluid leak , foreign body , computed tomography , cerebrospinal fluid , pathology , engineering , aerospace engineering
Two unusual cases of penetrating transorbital cranio-cerebral windshield glass injury following road traffic accident seen over a period of 10 years are reported. In the first case , the clinical course was complicated by a delayed frontal pneumocephalus and in the second case by a cerebrospinal fluid leak through the upper eye lid and a frontal intracerebral haematoma. In both cases, delayed complications prompted the use of computed tomography of the head (CT head) which revealed foreign bodies in the orbit and frontal regions with afore-mentioned features. Removal of foreign bodies via a transcranial subfrontal approach and the dural repair was successful in both cases. The use of high penetration resistant laminated wind shield in vehicles is recommended to reduce penetrating facio-orbito-cranio-cerebral wind shield glass injuries.