Operative management of a nail wound projectile to the skull base with unusual trajectory: illustrative case

Penetrating orbital wounds can obscure life-threatening intracranial trauma and may present with different trajectories involving multiple craniofacial compartments. Thin-cut CT imaging and early cerebral angiography are essential for diagnosis, and multidisciplinary planning is critical for safe and effective intervention for FB removal and reconstruction. https://thejns.org/doi/10.3171/CASE25577.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2025-12-01
DOI
https://doi.org/10.3171/case25577
Primary Topic
Traumatic Ocular and Foreign Body Injuries
Type
article
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article

Operative management of a nail wound projectile to the skull base with unusual trajectory: illustrative case

Rocco Anthony Armonda, Ehsan Dowlati, Andrii Sirko, S Ojeda León et al.
Journal of Neurosurgery Case Lessons
Traumatic Ocular and Foreign Body Injuries
article

Operative management of a nail wound projectile to the skull base with unusual trajectory: illustrative case

Rocco Anthony Armonda, Ehsan Dowlati, Andrii Sirko, S Ojeda León, Mykyta Hulidin, Bohdan Sirko
article en

Abstract

Penetrating orbital wounds can obscure life-threatening intracranial trauma and may present with different trajectories involving multiple craniofacial compartments. Thin-cut CT imaging and early cerebral angiography are essential for diagnosis, and multidisciplinary planning is critical for safe and effective intervention for FB removal and reconstruction. https://thejns.org/doi/10.3171/CASE25577.

Journal of Neurosurgery Case LessonsVol. 10(22)
MedStar Washington Hospital Center (US), Northwell Health (US), Georgetown University (US), MedStar Georgetown University Hospital (US), Regional Clinical Hospital named after II Mechnikov (UA)
Openalex Percentile: Top 47%
Traumatic Ocular and Foreign Body Injuries
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