To describe a case of trans-orbital intra-cranial air gun injury with a discussion on air gun related morbidity and mortality.
Methods
Case report and literature review.
Results
The air gun pellet travelled through the orbit without penetrating the globe. It passed into the middle cranial fossa through the superior orbital fissure and lodged in the temporal lobe. The patient was managed conservatively with antibiotics and antiepilectis.
Conclusions
Air gun design has changed in recent years resulting in an increased morbidity and mortality. Stricter legislation on the sale and use of these weapons needs to be implemented.
MilroyC.M.ClarkJ.C.CarterN.RuttyG.RooneyN.. Air weapon fatalities.J Clin Pathol1998; 51: 525–9.
2.
Firearms Act and Amendments 1968–1997, London: HMSO, 1997.
3.
MinerM.E.CabreraJ.A.FordE.Ewing-CobbsL.AmlingJ.. Intracranial penetration due to BB air rifle injuries.Neurosurgery1986; 19: 952–4.
4.
BraunJ.Gdal-OnM.GoldsherD.BorovichB.GuilburdJ.N.. Traumatic carotid aneurysm secondary to cavernous sinus penetration by wood: CT features.J Comput Assist Tomogr1987; 11: 525–8.
5.
AlexandrakisG.DavisJ.L.. Intracranial penetrating orbital injury.Ophthalmic Surg Lasers2000; 31: 61–3.
6.
OliverC.KabalaJ.. Air gun pellet injuries: The safety of MR imaging.Clin Radiol1997; 52: 299–300.
7.
LakitsA.ProkeschR.ScholdaC.NowotnyR.KaiderA.BankierA.. Helical and conventional CT in the imaging of metallic foreign bodies in the orbit.Acta Ophthalmol2000; 78: 79–83.
8.
LanzlI.M.HessU.HarmsJ.. MRI for metallic foreign bodies?Ophthalmology1999; 106: 1232–4.
9.
BellanL.. Sympathetic ophthalmia: A case report and review of the need for prophylactic enucleation.Can J Ophthalmol1999; 34: 95–8.
10.
Danesh-MeyerH.V.SavinoP.J.BilykJ.R.SergottR.C.KubisK.. Gaze-evoked amaurosis produced by intraorbital buckshot pellet.Ophthalmology2001; 108: 201–6.
11.
FinkelsteinM.LegmannA.RubinP.A.. Projectile metallic foreign bodies in the orbit: A retrospective study of epidemiologic factors, management, and outcomes.Ophthalmology1997; 104: 96–103.
12.
BrattonS.L.DowdM.D.BroganT.V.HegenbarthM.A.. Serious and fatal air gun injuries: More than meets the eye.Pediatrics1997; 100: 609–12.
13.
PadarS.C.. Air gun pellet embolizing the intracranial internal carotid artery.J Neurosurg1975; 43: 222–4.
14.
BondS.J.SchnierG.C.MillerF.B.. Air-powered guns: Too much firepower to be a toy.J Trauma1996; 41: 674–8.
15.
MyreL.E.BlackR.E.. Serious air gun injuries in children: update of injury statistics and presentation of five cases.Pediatr Emerg Care1987; 3: 168–70.
