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

Autor: Shuja Shaukat, Syeda Mahrukh Fatima Zaidi, Adil Khatri, Mishal Shan Siddiqui, Muhammad Sameer Khulsai, Abdul Basit Ansari, Shabih Ayesha, Atiq Ahmed Khan, Muhammad Imran
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Chinese Neurosurgical Journal, Vol 9, Iss 1, Pp 1-4 (2023)
Druh dokumentu: article
ISSN: 2057-4967
DOI: 10.1186/s41016-023-00328-1
Popis: Abstract Background Penetrating 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 presentations We 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. Conclusions Self-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.
Databáze: Directory of Open Access Journals