alexa Intracerebellar Penetrating Injury and Abscess Due to a Wooden Foreign Body
Clinical Research

Clinical Research

Journal of Clinical Case Reports

Author(s): Eiichi ISHIKAWA, Kotoo MEGURO, Kiyoyuki YANAKA, Takashi MURAKAMI, Kiyoshi NARUSHIMA, Takeshi AOKI, Tadao NOSE

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A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T1-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.

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This article was published in The Japan Neurosurgical Society and referenced in Journal of Clinical Case Reports

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