Self-inflicted penetrating brain injuries with preserved neurological function: a case series

Chinese Neurosurgical Journal

Case Report

Atiq Ahmed Khan¹  Syeda Mahrukh Fatima Zaidi¹  Muhammad Imran¹  Abdul Basit Ansari¹  Shabih Ayesha¹  Muhammad Sameer Khulsai¹  Shuja Shaukat¹  Adil Khatri¹  Mishal Shan Siddiqui² 

[1] Department of Neurosurgery, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, Pakistan;Department of Surgery, Dr. R K Pfau Civil Hospital, Karachi, Pakistan;

关键词: Penetrating brain injury;    Self-harm;    Head trauma;   

DOI  :  10.1186/s41016-023-00328-1

 received in 2023-03-21, accepted in 2023-05-18,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPenetrating trauma to the brain is a rare mode of self-harm in individuals with depressive psychosis. It may have variable presentations ranging from intact neurological status to non-survivable damage and the subjects may be surprisingly apathetic to pain. It is even unusual for such an injury to have an excellent prognosis despite coming late to clinical attention.Case presentationsWe report two cases of patients with psychotic depression who attempted suicide by hammering nails into their heads. On imaging, deep penetration within the brain parenchyma was noted; however, neither case had any neurological deficit or symptoms attributable to brain trauma.ConclusionsSelf-inflicted penetrating brain injuries with peculiar objects such as nails are rarely encountered in practice. They need prompt management for their removal and addressing the underlying mental health illnesses.

【 授权许可】

CC BY   
© The Author(s) 2023

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