Penetrating intracranial wood wounds: clinical limitations of computerized tomography

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✓ The case history of a patient with a periorbital penetrating wooden foreign body is presented. The computerized tomography (CT) densities of several different sources of wood were compared using an experimental model. The clinical usefulness and practical limitations of CT in the evaluation of intracranial foreign bodies is discussed, and the management of this type of injury is reviewed.

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Address reprint requests to: Steven K. Gudeman, M.D., Department of Neurosurgery, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425.
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  • 1.

    Albert DMBurns WPScheie HG: Severe orbitocranial foreign-body injury. Am J Ophthalmol 60:110911111965Albert DM Burns WP Scheie HG: Severe orbitocranial foreign-body injury. Am J Ophthalmol 60:1109–1111 1965

    • Search Google Scholar
    • Export Citation
  • 2.

    Bard LAJarrett WH: Intracranial complications of penetrating orbital injuries. Arch Ophthalmol 71:3323431964Bard LA Jarrett WH: Intracranial complications of penetrating orbital injuries. Arch Ophthalmol 71:332–343 1964

    • Search Google Scholar
    • Export Citation
  • 3.

    Brock LTanenbaum HL: Retention of wooden foreign bodies in the orbit. Can J Ophthalmol 15:70721980Brock L Tanenbaum HL: Retention of wooden foreign bodies in the orbit. Can J Ophthalmol 15:70–72 1980

    • Search Google Scholar
    • Export Citation
  • 4.

    Bursick DMSelker RG: Intracranial pencil injuries. Surg Neurol 16:4274311981Bursick DM Selker RG: Intracranial pencil injuries. Surg Neurol 16:427–431 1981

    • Search Google Scholar
    • Export Citation
  • 5.

    Doucet TWHarper DWRogers J: Penetrating orbital foreign body with intracranial involvement. Ann Ophthalmol 15:3253271983Doucet TW Harper DW Rogers J: Penetrating orbital foreign body with intracranial involvement. Ann Ophthalmol 15:325–327 1983

    • Search Google Scholar
    • Export Citation
  • 6.

    Duffy GPBhandari YS: Intracranial complications following transorbital penetrating injuries. Br J Surg 56:6856881969Duffy GP Bhandari YS: Intracranial complications following transorbital penetrating injuries. Br J Surg 56:685–688 1969

    • Search Google Scholar
    • Export Citation
  • 7.

    Foy PSharr M: Cerebral abscesses in children after pencil-tip injuries. Lancet 2:6626631980Foy P Sharr M: Cerebral abscesses in children after pencil-tip injuries. Lancet 2:662–663 1980

    • Search Google Scholar
    • Export Citation
  • 8.

    Freeman W: Transorbital leucotomy. Lancet 2:3713731948Freeman W: Transorbital leucotomy. Lancet 2:371–373 1948

  • 9.

    Guthkelch AN: Apparently trivial wounds of the eyelids with intracranial damage. Br Med J 2:8428441960Guthkelch AN: Apparently trivial wounds of the eyelids with intracranial damage. Br Med J 2:842–844 1960

    • Search Google Scholar
    • Export Citation
  • 10.

    Healy JF: Computed tomography of a cranial wooden foreign body. J Comput Assist Tomogr 4:5555561980Healy JF: Computed tomography of a cranial wooden foreign body. J Comput Assist Tomogr 4:555–556 1980

    • Search Google Scholar
    • Export Citation
  • 11.

    Homer FABerry RGFrantz M: Broken pencil points as a cause of brain abscess. N Engl J Med 271:3423451964Homer FA Berry RG Frantz M: Broken pencil points as a cause of brain abscess. N Engl J Med 271:342–345 1964

    • Search Google Scholar
    • Export Citation
  • 12.

    Jooma RBradshaw JRCoakham HB: Computed tomography in penetrating cranial injury by a wooden foreign body. Surg Neurol 21:2362381984Jooma R Bradshaw JR Coakham HB: Computed tomography in penetrating cranial injury by a wooden foreign body. Surg Neurol 21:236–238 1984

    • Search Google Scholar
    • Export Citation
  • 13.

    Kaiser MCRodesch GCapesius P: CT in a case of intracranial penetration of a pencil. A case report. Neuroradiology 24:2292311983Kaiser MC Rodesch G Capesius P: CT in a case of intracranial penetration of a pencil. A case report. Neuroradiology 24:229–231 1983

    • Search Google Scholar
    • Export Citation
  • 14.

    Kjer P: Orbital and transorbital stab wounds. Arch Ophthalmol 51:8118211954Kjer P: Orbital and transorbital stab wounds. Arch Ophthalmol 51:811–821 1954

    • Search Google Scholar
    • Export Citation
  • 15.

    Kuhns LRBorlaza GSSeigel RSet al: An in vitro comparison of computed tomography, xeroradiography, and radiography in the detection of soft-tissue foreign bodies. Radiology 132:2182191979Kuhns LR Borlaza GS Seigel RS et al: An in vitro comparison of computed tomography xeroradiography and radiography in the detection of soft-tissue foreign bodies. Radiology 132:218–219 1979

    • Search Google Scholar
    • Export Citation
  • 16.

    Lunsford LDWoodford JDrayer BP: Cranial computed tomography demonstration of intracranial penetration by an orbital foreign body. Neurosurgery 1:57591977Lunsford LD Woodford J Drayer BP: Cranial computed tomography demonstration of intracranial penetration by an orbital foreign body. Neurosurgery 1:57–59 1977

    • Search Google Scholar
    • Export Citation
  • 17.

    Macrae JA: Diagnosis and management of a wooden orbital foreign body: case report. Br J Ophthalmol 63:8488511979Macrae JA: Diagnosis and management of a wooden orbital foreign body: case report. Br J Ophthalmol 63:848–851 1979

    • Search Google Scholar
    • Export Citation
  • 18.

    Miller CF IIBrodkey JSColombi BJ: The danger of intracranial wood. Surg Neurol 7:951031977Miller CF II Brodkey JS Colombi BJ: The danger of intracranial wood. Surg Neurol 7:95–103 1977

    • Search Google Scholar
    • Export Citation
  • 19.

    Tate ECupples H: Detection of orbital foreign bodies with computed tomography: current limits. AJR 137:4934951981Tate E Cupples H: Detection of orbital foreign bodies with computed tomography: current limits. AJR 137:493–495 1981

    • Search Google Scholar
    • Export Citation
  • 20.

    Webster JESchneider RCLofstrom JE: Observations upon the management of orbito-cranial wounds. J Neurosurg 3:3293361946Webster JE Schneider RC Lofstrom JE: Observations upon the management of orbito-cranial wounds. J Neurosurg 3:329–336 1946

    • Search Google Scholar
    • Export Citation
  • 21.

    Weisman RASavino PJSchut Let al: Computed tomography in penetrating wounds of the orbit with retained foreign bodies. Arch Otolaryngol 109:2652681983Weisman RA Savino PJ Schut L et al: Computed tomography in penetrating wounds of the orbit with retained foreign bodies. Arch Otolaryngol 109:265–268 1983

    • Search Google Scholar
    • Export Citation
  • 22.

    Wesley REWahl JWLoden JPet al: Management of wooden foreign bodies in the orbit. South Med J 75:9249261982Wesley RE Wahl JW Loden JP et al: Management of wooden foreign bodies in the orbit. South Med J 75:924–926 1982

    • Search Google Scholar
    • Export Citation
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