Intracerebellar penetrating injury and abscess due to a wooden foreign body--case report

Neurol Med Chir (Tokyo). 2000 Sep;40(9):458-62. doi: 10.2176/nmc.40.458.


A 4-year-old boy presented with chopstick penetration into the cerebellum via the temporal squamosa and tentorium cerebelli, which resulted in a cerebellar abscess 1.5 years after the injury. The neuroimaging appearance of the wooden chopstick were unusual, hyperdense on computed tomography, and isointense on T2-weighted and hypointense on T2-weighted magnetic resonance imaging. Abscess aspiration and continuous drainage was performed with real-time intraoperative ultrasound guidance. The chopstick fragment was surgically removed and the patient discharged with minor neurological deficits. Wooden foreign body may show changes in properties after a long period of intraparenchymal retention. Extra care is required to remove wooden foreign bodies because of the high risk of infection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Brain / diagnostic imaging
  • Brain / pathology
  • Brain / surgery
  • Brain Abscess / complications
  • Brain Abscess / diagnosis*
  • Brain Injuries / complications
  • Brain Injuries / diagnosis*
  • Child, Preschool
  • Foreign Bodies / diagnosis*
  • Foreign Bodies / surgery
  • Head Injuries, Penetrating / complications
  • Head Injuries, Penetrating / diagnosis*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Tomography, X-Ray Computed
  • Wood