case_images: PMC11271157_01
case_images: Triangular-shaped wooden pencil protruding through the left orbit beside the superomedial aspect of the globe.
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case_images: A 3-year-old boy presented to the emergency department with a wooden pencil protruding from the superomedial aspect of his left orbit (Figure 1).
case_images: (a) and (b) Preoperative computed tomography (CT) scan with pencil penetrating the skull through the ethmoid bone with its tip (arrow) at the inferomedial aspect of the ipsilateral frontal lobe, extending up to 5 cm. (c) Postoperative CT scan.
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case_images: There was no surrounding hemorrhage or edema (Figures 2 and 3).
case_images: Preoperative computed tomography scan showing the relation between the tip of pencil and the cerebral vasculature.
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case_images: There was no surrounding hemorrhage or edema (Figures 2 and 3).
case_images: Perioperative imaging of the cavity after retrieving the pencil. A pencil was removed, inserted up to 3 cm (blue arrow).
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case_images: A small linear skin incision was made adjacent to the entry point of the pencil, and part of the bone was cut away to free the penetrating object (Figure 4).
case_images: PMC11271157_02
case_images: (a) A toy wheel foreign body affected at the occipital area. (b) The metal artifact post Craniectomy.
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case_images: A 19-month-old child was brought to the emergency room with a foreign body protruding from the back of his head, which was identified as a toy car wheel (Figure 5).
case_images: (a) Preoperative computed tomography (CT) 3D reconstruction shows the visible object at the left occipital area. (b and c) Coronal cut CT (preoperative) exhibits a linear hyperdense object, 1.5 cm in depth, causing metallic streak artifacts at the affected left occipital area, indicative of infarct without evidence of acute intracranial hemorrhage or mass effect. (d) Postoperative 3D reconstruction following successful removal of the object. (e and f) Coronal cut CT (postoperative) illustrates the absence of the previously noted linear hyperdense object after the surgical procedure.
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case_images: His head CT revealed a linear hyperdense object with a metallic artifact in the left occipital area at a depth of approximately 1.5 cm without any evidence of infarction, acute intracranial hemorrhage, or mass effect (Figure 6).