Penetrating orbitocranial injury to the sella: case report and review of the literature.

Jorge Gonzalez-Cruz, Raul Cardenas, Anil Nanda

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

A 39-year-old woman sustained a self-inflicted transorbital penetrating injury that resulted in direct pituitary injury with hypopituitarism and decreased vision in the opposite eye. Several hormone deficiencies were detected. Even though this patient did not develop any other complications from her injury (abscess, cerebrospinal fluid fistula or pseudoaneurysm), after two years of follow-up no recovery of pituitary or visual function has occurred. Conclusion: From our experience in this case, we propose a conservative multidisciplinary approach when dealing with this type of lesion. Broad spectrum antibiotic coverage and early detection and replacement of any hormone deficiency should be instituted.

Original languageEnglish (US)
Pages (from-to)310, 312, 314
JournalThe Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
Volume159
Issue number6
StatePublished - 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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