Retained foreign body in the orbit and cavernous sinus with delayed presentation of superior orbital fissure syndrome: Case report

Citation
R. Jarrahy et al., Retained foreign body in the orbit and cavernous sinus with delayed presentation of superior orbital fissure syndrome: Case report, J CRANIOF S, 12(1), 2001, pp. 82-86
Citations number
14
Categorie Soggetti
Surgery
Journal title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN journal
10492275 → ACNP
Volume
12
Issue
1
Year of publication
2001
Pages
82 - 86
Database
ISI
SICI code
1049-2275(200101)12:1<82:RFBITO>2.0.ZU;2-N
Abstract
Reports of delayed onset of neurological symptoms after penetrating intracr anial trauma are rare. We present the case of a patient who presented with superior orbital fissure syndrome 72 hours after reported trauma to the rig ht eye. Subsequent workup revealed a foreign body located within the orbit, passing through the superior orbital fissure and into cavernous sinus, imp inging on the right cavernous carotid artery. Evidence of an intraorbital a bscess was also present. Surgical management consisted of a combination of frontopterional and orbital approaches to fully expose both the cavernous s inus and the orbital contents. The foreign body was removed and the abscess was drained. The carotid artery was found to be intact. At 10-month follow -up examination, a slight ptosis and medial gaze of the right eye persist. All other symptoms have resolved.