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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 26:1855-1857, August 2005
© 2005 American Society of Neuroradiology

Case Report
BRAIN

Temporal Lobe Intraparenchymal Retained Foreign Body from Remote Orbital Trauma

Joseph M. Aulino^a, Kymberly A. Gyure^b, Andrew Morton^d and John W. Cole^c

^a Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN
^b Department of Pathology, Baltimore, MD
^c Department of Neurology, Baltimore, MD
^d University of Maryland Medical Center, and American Radiology Services, Baltimore, MD

Address correspondence to: Joseph M. Aulino, MD, Department of Radiology and Radiological Sciences, Section of Neuroradiology, Vanderbilt University Medical Center, 21st Avenue South, Nashville, TN 37232-2675

Summary: We present the case of a 35-year-old man with a new onset of seizure disorder who was found to harbor an intraparenchymal retained foreign body related to remote orbital trauma. Imaging revealed a rim-enhancing anterior medial temporal lobe mass. Histologic evaluation of the resected mass showed evidence of acute and chronic inflammation with associated foreign material. The patient described a "bar fight" 16 years previously in which he received a blow to the orbit with a pool cue stick. The diagnosis of a foreign body reaction should be considered when an intraparenchymal mass is identified in this location.