{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:38:35Z","timestamp":1791261515515,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Timely diagnosis, multidisciplinary surgical intervention, and appropriate imaging are crucial in managing transorbital\u2010penetrating intracranial injuries (TOPIs), minimizing morbidity, and optimizing patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Transorbital\u2010penetrating intracranial injuries (TOPIs) are rare occurrences with potential for severe neurological complications and high mortality rates. Prompt diagnosis and management are essential to mitigate adverse outcomes. Understanding injury patterns and employing appropriate imaging modalities are crucial for effective surgical planning and patient care. We present a case of a 22\u2010year\u2010old male mechanic who sustained a TOPI involving bilateral frontal lobes with evisceration of the right eye following a workplace accident with a metal cutter. Upon arrival at the emergency department, the patient exhibited vision loss in the right eye, proptosis, and a dilated pupil. Imaging studies revealed the trajectory of a metal arrow through the right orbital roof, necessitating surgical intervention. A multidisciplinary team performed bifrontal craniectomy with duroplasty to remove the foreign body and address associated injuries. Postoperatively, the patient received broad\u2010spectrum antibiotics and anticonvulsants, leading to full recovery and discharge on postoperative day 10. TOPIs present unique challenges due to their rarity and potential for devastating consequences. Our case highlights the importance of timely diagnosis, meticulous surgical planning, and multidisciplinary collaboration in achieving favorable outcomes. Radiological imaging plays a crucial role in guiding treatment decisions and optimizing patient care. This report underscores the significance of early surgical intervention, antimicrobial therapy, and prophylactic measures in reducing morbidity and mortality associated with TOPIs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9018","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T03:45:04Z","timestamp":1717213504000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Transorbital penetrating intracranial injury involving bilateral frontal lobes with evisceration of right eye: A case report"],"prefix":"10.1002","volume":"12","author":[{"given":"Abdul Rehman","family":"Siddiqui","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Super Specialty Hospital GMC, Shireen Bagh Srinagar  Srinagar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiser","family":"Kariem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Super Specialty Hospital GMC, Shireen Bagh Srinagar  Srinagar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsin","family":"Fayaz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Sher\u2010i\u2010Kashmir Institute of Medical Sciences  Srinagar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9465-2506","authenticated-orcid":false,"given":"Gianluca","family":"Scalia","sequence":"additional","affiliation":[{"name":"Neurosurgery Unit, Department of Head and Neck Surgery Garibaldi Hospital  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8392-2072","authenticated-orcid":false,"given":"Bipin","family":"Chaurasia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Neurosurgery Clinic  Birgunj Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnt.2013.12.001"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004054"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1725"},{"key":"e_1_2_13_5_1","first-page":"163","article-title":"Transorbital brain injury by a metallic fragment: a case report","volume":"17","author":"Se\u00e7er M","year":"2007","journal-title":"Turk Neurosurg"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(09)70299-0"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2017.04.004"},{"key":"e_1_2_13_8_1","first-page":"95","article-title":"The danger of intracranial wood","volume":"7","author":"Miller CF","year":"1977","journal-title":"Surg 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