ABSTRACT
The rarity of orbito-cranial gun shot injury in both war and civilian practice has been reported. In a large series of 351 missile head injuries in the Vietnam war, orbital penetration was noted in 0.6% cases only. Review of literature shows that orbital injury was ipsilateral to the cerebral injury in most reported cases. We have previously reported a rare case of left parieto-occipital lobe injury due to gun shot wound of the contralateral (right) orbit. The case reported here sustained a bullet injury to the left frontal bone but the missile was located below the contralateral (right) optic canal. The rarity of the case prompted this report.
Subject(s)
Adult , Brain Injuries/diagnostic imaging , Foreign Bodies/diagnostic imaging , Humans , Male , Orbit/injuries , Wounds, Gunshot/diagnostic imagingABSTRACT
We report the case of a man who presented with in the features of left optic nerve compression. CT scan and carotid angiography demonstrated an unruptured giant aneurysm of the left internal carotid artery possibly kinking the optic nerve. Carotid ligation in the neck saved both life and vision.
Subject(s)
Adult , Carotid Artery Diseases/complications , Carotid Artery, Internal , Humans , Intracranial Aneurysm/complications , Male , Optic Neuritis/etiology , Tomography, X-Ray ComputedABSTRACT
A case of orbitofrontal fibrous dysplasia with optic canal involvement is reported. Surgical excision of the mass with unroofing of the optic canal followed by orbito-cranian reconstruction by methyl methacrylate gave excellent results.
Subject(s)
Adult , Craniotomy/methods , Fibrous Dysplasia of Bone/pathology , Humans , Male , Methacrylates , Orbit/pathology , Surgery, Plastic/methodsABSTRACT
A case of atypical Wilson disease is being reported. Possible mechanism of the process, diagnostic features and CT appearance of brain is described. Early detection and therapy with copper chelating agents result in neurologic and performance improvement of patients.