Cavernous sinus embolisation prior to removal of penetrating foreign body in a 6-year-old child.
neurosurgery
ophthalmology
paediatrics
trauma CNS /PNS
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
13 Dec 2020
13 Dec 2020
Historique:
entrez:
15
12
2020
pubmed:
16
12
2020
medline:
23
2
2021
Statut:
epublish
Résumé
Transorbital penetrating foreign bodies are extremely rare in children and may penetrate the cavernous sinus or the underlying internal carotid artery. Parent vessel sacrifice and temporary balloon occlusion are feasible options for managing arterial injury during removal of the foreign body. Even in the absence of arterial injury, the ophthalmologist may encounter significant bleeding from the cavernous sinus deep in their operative field that is difficult to control. We present a case of a 6-year-old child with a stick penetrating the left superior orbit to enter the cavernous sinus but sparing the internal carotid artery. We describe the first reported experience of prophylactic coil embolisation of the cavernous sinus to minimise intraoperative bleeding during transorbital removal of a foreign body with an excellent clinical outcome.
Identifiants
pubmed: 33318247
pii: 13/12/e237301
doi: 10.1136/bcr-2020-237301
pmc: PMC7737400
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Adv Ophthalmic Plast Reconstr Surg. 1987;7:3-26
pubmed: 3502746
Medicine (Baltimore). 2018 May;97(19):e0706
pubmed: 29742729
Neurosurgery. 2004 Nov;55(5):1225
pubmed: 15791741
Brain Inj. 2013;27(7-8):951-6
pubmed: 23789869
Digit J Ophthalmol. 2012 Dec 31;18(4):9-11
pubmed: 23847449
World Neurosurg. 2016 Dec;96:611.e1-611.e10
pubmed: 27641266