Transorbital Intracranial Injury by a Chopstick

A 5-year-old girl tripped while carrying a bowl of rice and plastic chopsticks. One the chopsticks penetrated medial aspect right upper eyelid. In emergency room, she was fully conscious without any evident neurological damage. From computed tomography (CT) study ([Fig. 1A B]) three-dimensional reconstruction 1C]), chopstick found to be passing through superior orbital fissure into cranium. No hematoma an angiogram showed no vascular injury. Under general anesthesia, withdrawn difficulty in one piece 1D]) patient remained well complications. Immediate postoperative CT scan evidence neural damage or intracranial hemorrhage 1E F]). Postoperative prophylactic antibiotics were administered prevent infections.[1] [2] [3] [4] Pre- ophthalmological examination revealed normal visual acuity intact ocular movements. The discharged home 5 days after operation. At 3-month follow-up, there neurological/ophthalmological deficits infections.