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Intracranial Foreign Body in a Patient With Paranoid Schizophrenia


Andereggen, Lukas; Biétry, Damien; Kottke, Raimund; Andres, Robert H (2017). Intracranial Foreign Body in a Patient With Paranoid Schizophrenia. Journal of Craniofacial Surgery, 28(7):e685-e687.

Abstract

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 Given the proximity to large intracranial vessels, a craniotomy was performed and the nail was retracted.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.

Abstract

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 Given the proximity to large intracranial vessels, a craniotomy was performed and the nail was retracted.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.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:28 October 2017
Deposited On:16 Feb 2018 15:42
Last Modified:19 Feb 2018 11:05
Publisher:Lippincott Williams & Wilkins
ISSN:1049-2275
OA Status:Closed
Publisher DOI:https://doi.org/10.1097/SCS.0000000000003843
PubMed ID:28885436

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Embargo till: 2018-10-29