Citation

Shaukat S, Zaidi SMF, Khatri A, Siddiqui MS, Khulsai MS, Ansari AB, Ayesha S, Khan AA, Imran M. Chin. Neurosurg. J. 2023; 9(1): e15.

Copyright

(Copyright © 2023, Chinese Neurosurgical Society, Publisher Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s41016-023-00328-1

PMID

37231518

PMCID

PMC10210394

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.

Language: en

Keywords

Self-harm; Head trauma; Penetrating brain injury