Evidence map›Paper›PMID 42621590›Full record

ArticleNMC case report journal2026

Transorbital Penetrating Brain Injury Extending into the Prepontine Region: A Case Successfully Managed via Anterior Petrosectomy.

Kei Miyata, Katsuyuki Asaoka, Keisuke Ohmae

Abstract read
In one paragraph

Article in NMC case report journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kei MiyataDepartment of Neurosurgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
Katsuyuki AsaokaDepartment of Neurosurgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
Keisuke OhmaeDepartment of Neurosurgery, Otaru General Hospital, Otaru, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transorbital penetrating brain injuries are rare and may cause fatal damage depending on their trajectory. We report a case of a man in his 60s with a transorbital injury caused by wooden chopsticks extending to the prepontine region. Imaging demonstrated that the foreign bodies passed through the superior orbital fissure and cavernous sinus, reaching the prepontine region; however, no major vascular injury was identified. Emergency surgery using a frontotemporal craniotomy combined with anterior petrosectomy (Kawase approach) enabled wide exposure of the trajectory at the upper clivus and prepontine space, allowing for the safe removal of fragmented foreign bodies and adhering paper under direct visualization. Postoperatively, no carotid-cavernous fistula was detected; however, brainstem contusion resulted in severe neurological deficits, and the patient died from aspiration-related complications. This approach provides effective exposure for managing transorbital penetrating injuries extending to the upper clivus or prepontine space.

Indexed as

anterior petrosectomycavernous sinusprepontine cisterntransorbital penetrating injurywooden foreign body

Identifiers

PMID42621590
PMCPMC13489695

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.