case_images: PMC7289748_01
case_images: Initial presentation of patient in ER. The wooden foreign body penetrated through the left nasolabial fold.
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case_images: On neurological examination, a decreased blink reflex on his left eye was found, but signs of basilar skull fracture (e.g. raccoon eyes, rhinorrhea, and otorrhea) and muscle weakness or sensory impairment in all 4 limbs were not found (Medical Research Council (MRC) Scale 5/5) (Fig. 1).
case_images: Preoperative NECT described a low-attenuated area in the left lobe of cerebellum (yellow arrow).
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case_images: The length of the object was 152.1 mm embedded in situ (Fig. 2, Fig. 3, Fig. 4).
case_images: Preoperative 3D head CT reconstruction showed foreign the foreign wooden body penetrated the man's left nasolabial fold.
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case_images: The length of the object was 152.1 mm embedded in situ (Fig. 2, Fig. 3, Fig. 4).
case_images: The total length of the foreign wooden body was 49.4 x 4 cm, divided into two parts which are in-situ part (19 x 2.6 cm) and ex-situ part (30.7 x 4 cm).
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case_images: fig0025
case_images: The total length of the foreign wooden body is 49.4 x 4 cm, the measurement of in-situ part was 19 x 2.6 cm, while the measurement of ex-situ part was 30.7 x 4 cm (Fig. 5).
case_images: A & B. Postoperative neurological examination, facial nerve palsy were found.
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case_images: Facial nerve palsy and paresthesia of the trigeminal nerve were found (Fig. 6A & B).
case_images: Thirty day postoperative enhanced head CT images showed a formation cystic mass in the left lobe of the cerebellum with blood density lesions and visible ring enhancement. These features suggested a formation of cerebellar abscess.
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case_images: It measured 20 x 28 mm with blood density lesions and visible ring enhancement (Fig. 7).
case_images: Three month postoperative enhanced head CT images showed the brain abscess was relatively consistent with its previous size, shape, and location.
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case_images: Later on, enhanced head CT was repeated and revealed that abscess' size, shape, and location were consistent compared to previous enhanced head CT's result (Fig. 8).