TY - JOUR
PY - 2023//
TI - Self-inflicted penetrating brain injuries with preserved neurological function: a case series
JO - Chinese neurosurgical journal
A1 - Shaukat, Shuja
A1 - Zaidi, Syeda Mahrukh Fatima
A1 - Khatri, Adil
A1 - Siddiqui, Mishal Shan
A1 - Khulsai, Muhammad Sameer
A1 - Ansari, Abdul Basit
A1 - Ayesha, Shabih
A1 - Khan, Atiq Ahmed
A1 - Imran, Muhammad
SP - e15
EP - e15
VL - 9
IS - 1
N2 - 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
LA - en SN - 2095-9370 UR - http://dx.doi.org/10.1186/s41016-023-00328-1 ID - ref1 ER -