Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage.

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dc.contributor.authorShah, Akash D
dc.contributor.authorDecock, Christian
dc.date.accessioned2012-01-02T09:40:14Z
dc.date.available2012-01-02T09:40:14Z
dc.date.issued2011-11
dc.description.abstractOrbito-cranial foreign bodies present a treacherous situation that can escape detection. The only evidence of these foreign bodies may be the entry wound in the form of a small lid laceration. A two-year-old boy presented with right upper lid laceration following a fall two hours back. Analysis of the fluid around the wound revealed a beta-tracer protein (beta-TP) value of 33.5 mg/l suggestive of cerebrospinal fluid (CSF). Three-dimensional computed tomography (CT) scan revealed a foreign body measuring 4.2 cm × 0.8 cm passing from the orbital roof to the frontal lobe. The foreign body tract was explored through the eyelid laceration and a broken pencil was removed followed by dural patch graft. The patient developed no ocular or intracranial complications. Beta-TP, a highly specific marker of CSF is routinely used in screening patients of neurosurgery and otolaryngology with CSF leaks, however, its use has never been reported in ophthalmic literature based on an online PubMed search.en_US
dc.identifier.citationShah Akash D, Decock Christian. Occult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage. Indian Journal of Ophthalmology. 2011 Nov; 59(6): 505-507.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/136238
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214426/en_US
dc.subjectBeta-tracer proteinen_US
dc.subjectcerebrospinal fluid leakageen_US
dc.subjectthree-dimensional computed tomographyen_US
dc.subject.meshBiological Markers --cerebrospinal fluid
dc.subject.meshBrain Injuries --metabolism
dc.subject.meshBrain Injuries --radiography
dc.subject.meshCerebrospinal Fluid Rhinorrhea --metabolism
dc.subject.meshCerebrospinal Fluid Rhinorrhea --radiography
dc.subject.meshChild, Preschool
dc.subject.meshEye Foreign Bodies --metabolism
dc.subject.meshEye Foreign Bodies --radiography
dc.subject.meshEye Injuries, Penetrating --metabolism
dc.subject.meshEye Injuries, Penetrating --radiography
dc.subject.meshHumans
dc.subject.meshIntramolecular Oxidoreductases --metabolism
dc.subject.meshLipocalins --metabolism
dc.subject.meshMale
dc.subject.meshOrbit --injuries
dc.subject.meshTomography, X-Ray Computed
dc.titleOccult orbito-cranial penetrating injury by pencil: Role of beta tracer protein as a marker for cerebrospinal fluid leakage.en_US
dc.typeArticleen_US
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