Goat horn-induced intracranial emphysema and orbital injury

This is a case description of a male patient found to have orbital and intracranial emphysema, specifically with air in his cavernous sinuses bilaterally following penetrating trauma to the medial orbit from a goat's horn. There were no orbital or skull base fractures. Although the presence of...

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Bibliographic Details
Published inOrbit (Amsterdam) Vol. 35; no. 6; pp. 355 - 356
Main Authors Huggins, Alison B, Evans, James J, Flanders, Adam E, Rabinowitz, Michael P
Format Journal Article
LanguageEnglish
Published England 01.12.2016
Subjects
Animals
Emphysema - diagnostic imaging
Emphysema - etiology
Emphysema - surgery
Eye Injuries, Penetrating - diagnostic imaging
Eye Injuries, Penetrating - etiology
Eye Injuries, Penetrating - surgery
Goats - injuries
Horns - injuries
Humans
Male
Middle Aged
Orbit - injuries
Orbital Diseases - diagnostic imaging
Orbital Diseases - etiology
Orbital Diseases - surgery
Pneumocephalus - diagnostic imaging
Pneumocephalus - etiology
Pneumocephalus - surgery
Tomography, X-Ray Computed
pneuomocephalus
Orbit
orbital trauma
orbital emphysema
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Summary:This is a case description of a male patient found to have orbital and intracranial emphysema, specifically with air in his cavernous sinuses bilaterally following penetrating trauma to the medial orbit from a goat's horn. There were no orbital or skull base fractures. Although the presence of traumatic intracranial emphysema is not uncommon, it is typically the result of direct communication of the cranial vault with the paranasal sinuses in the setting of associated fracture or, alternatively, from direct penetration and inoculation. We present a rare case of orbital emphysema with traumatic intracranial emphysema without these previously described associations and postulate a mech``anism behind its development.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0167-6830
1744-5108
DOI:10.1080/01676830.2016.1193535