Brain haemorrhage due to being stabbed in the eye by a bamboo stick

Ho Chi Minh City47-year-old woman, emergency at Military Hospital 175 with a bamboo stick pierced from her right eye into the floor of her skull, causing brain hemorrhage, on the night of September 2.

Doctor Do Tung Lam, Head of the Department of Ophthalmology, said that the patient was admitted to the hospital in the second hour after the accident, in a state of lethargy.

The CT scan of the brain shows that the foreign body pierces the entire eyeball, through the top of the eye socket into the deep floor of the skull, causing cerebral edema and cerebral hemorrhage, a very dangerous position that threatens life.

The treating doctor removed the bamboo stick from the woman’s eye. Photo: Tran Chinh

Doctors determined that the bamboo stick was stabbed right next to the internal carotid artery – the main artery that supplies blood to the brain. If the internal carotid artery is damaged, it is difficult for the patient to survive.

Doctor Hoang Van Hanh (Ophthalmology Department) and Doctor Tran Trung Kien (Department of Neurosurgery) performed emergency surgery overnight. The challenge is not small when the doctor has to both remove the foreign body and avoid the risk of brain damage.

Fortunately, the team successfully withdrew the bamboo stick, removed the eyeball and a segment of the optic nerve, cleaned the lesion and placed an orbital drainage.

On September 3, the patient was alert, accessible, no fever, no focal neurological signs. Patients are closely monitored for the risk of encephalitis – meningoencephalitis and cerebrospinal fluid leakage due to open skull wounds at the Department of Neurosurgery.

The doctor recommends that when encountering cases of being stabbed by a foreign object, absolutely do not arbitrarily withdraw the damaging object from the body, maintain the victim’s position and quickly take them to the nearest facility for timely emergency treatment. time.

Le Phuong