Intracranial Foreign Body in a Patient With Paranoid Schizophrenia

被引：6

作者：

Andereggen, Lukas ^{[1
,2
,3
]}

Bietry, Damien ^{[4
]}

Kottke, Raimund ^{[5
,6
]}

Andres, Robert H. ^{[1
]}

机构：

[1] Univ Bern, Dept Neurosurg, Inselspital, Freiburgstr 10, CH-3010 Bern, Switzerland

[2] Harvard Med Sch, Boston Childrens Hosp, Dept Neurosurg, Boston, MA USA

[3] Harvard Med Sch, Boston Childrens Hosp, FM Kirby Neurobiol Ctr, Boston, MA USA

[4] Univ Bern, Inselspital, Dept Otorhinolaryngol Head & Neck Surg, Bern, Switzerland

[5] Univ Bern, Inselspital, Inst Diagnost & Intervent Neuroradiol, Bern, Switzerland

[6] Univ Childrens Hosp Zurich, Dept Diagnost Imaging, Zurich, Switzerland

来源：

JOURNAL OF CRANIOFACIAL SURGERY | 2017年 / 28卷 / 07期

关键词：

Computed tomography; nail; secondary damage; vessels; NAIL; INJURY; BRAIN;

D O I：

10.1097/SCS.0000000000003843

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Self-inflicted penetrating head injuries in patients with paranoid schizophrenia are an infrequent phenomenon. The authors report on a psychiatric patient who presented with epistaxis. Computed tomography showed a nail passing from the nasal cavity into the frontal lobe. Given the proximity to large intracranial vessels, a craniotomy was performed and the nail was retracted. The patient later reported having hammered the nail into the nasal cavity with the intention to "kill the voice in my head." Despite use of the latest imaging modalities, metal artifacts may have limited the assessment of vascular involvement. Surgical decision-making preventing secondary damage is crucial in them.

引用

页码：E685 / E687

页数：4

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