Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 14, 2026LifeOpen Access

Transnasal Penetrating Intracranial Injury with a Retained Foreign Body: Diagnostic Challenges and Endoscopic Surgical Management—A Case Report

View Full Paper
Ask AI
Bookmark
Share

Authors

SMStoyan Markov

Discussion

Loading...

Member takes

Overview

Case report demonstrates successful endoscopic endonasal extraction of an intracranial foreign body in an adult patient, highlighting the efficacy of minimally invasive skull base reconstruction.

Key Points

  • To report a rare case of a self-inflicted transnasal penetrating brain injury with a retained ballpoint pen refill and describe its diagnostic and endoscopic surgical management.
  • Evaluated a 46-year-old woman admitted with an acute psychotic disorder and a transnasal penetrating head injury using computed tomography.
  • Performed foreign body removal via an endoscopic endonasal approach and reconstructed the associated anterior skull base defect using fascia lata and tissue adhesive.
  • The retained foreign body traversing the cribriform plate into the brain parenchyma was successfully extracted endoscopically without vascular complications.
  • Postoperative cerebrospinal fluid leakage was sealed, intracerebral hemorrhage and pneumocephalus fully resolved, and the patient was discharged without neurological deficits.

Cite This Study

Stoyan Markov (2026) studied this question.

synapsesocial.com/papers/6a7ee587b70b84ec8b9147b9https://doi.org/10.3390/life16081321
View Full Paper
Ask AI
Bookmark
Share