Transorbital nonmissile penetrating brain injury: Report of two cases.
BACKGROUND
Penetrating brain injury (PBI) is an uncommon emergency in neurosurgery, and transorbital PBI is a rare type of PBI. Reasonable surgical planning and careful postoperative management can improve the prognosis of patients.


CASE SUMMARY
The first case is a 68-year-old male patient who was admitted to the hospital because a branch punctured his brain through the orbit for approximately 9 h after he unexpectedly fell while walking. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient was able to follow instructions at a 4-mo follow-up review. The other case is a 46-year-old male patient who was admitted to the hospital due to an intraorbital foreign body caused by a car accident, after which the patient was unconscious for approximately 6 h. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient could correctly answer questions at a 3-mo follow-up review.


CONCLUSION
Transorbital PBI is a rare and acute disease. Early diagnosis, surgical intervention, and application of intravenous antibiotics can improve the prognosis and quality of life of patients.
['Xue|Hang|H|', 'Zhang|Wei-Tao|WT|', 'Wang|Guang-Ming|GM|', 'Shi|Lin|L|', 'Zhang|Yi-Ming|YM|', 'Yang|Hong-Fa|HF|']
Transorbital Nonmissile Penetrating brain injury Foreign body Case report