Intracranial Self-Stabbing

Babidge, Nicholas; Nielssen, Olav

doi:10.1097/paf.0b013e3181dd5b47

Cited by 20 publications

(19 citation statements)

References 50 publications

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“…In all previously reported cases, the foreign body in question was removed surgically 1-10. However, in the present case, we believed that removing the nail would be more dangerous than keeping its status intact.…”

Section: Discussionmentioning

confidence: 61%

“…Patients with schizophrenia form the greatest portion of individuals with these injuries 1. However, this phenomenon has received little attention from a psychiatric perspective.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of reports about self-inflicted foreign bodies in the brain involve accidents or suicide attempts 1,2. However, patients with psychotic illnesses have reported various motivations for self-injurious behaviors involving the brain such as the removal of evil from the head,3 obedience to auditory hallucinations,4 and frank suicide attempts 5,6.…”

Section: Introductionmentioning

confidence: 99%

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Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient

Son

Kang

Kim³

et al. 2011

Psychiatry Investig

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The self-infliction of foreign bodies into the brain represents rare a clinical phenomenon that has been reported primarily in cases involving accidents and suicide attempts. However, various motivations for self-injurious behaviors as well as suicide attempts have been reported, especially in patients with psychotic illnesses. A 47-year-old man with a history of schizophrenia presented to our hospital due to the presence of a nail on his plain skull X-ray. He diagnosed paranoid type of schizophrenia about 17 years earlier, and his psychiatric symptoms were well controlled by medication. Interestingly, he was not aware of the presence of the nail in his brain and showed no neurological deficits. In the course of detailed history taking, we discovered that the nail was driven into his brain during a hallucinatory experience that had occurred more than 10 years earlier. Because we believed that removing the nail from his brain would be more dangerous than maintaining the status quo, the nail was not removed. This is a very rare case of a self-inflicted injury involving inserting a nail into the brain under the influence of hallucinations. The absence of adverse effects or neurological symptoms/signs related to the presence of a foreign metallic body in the brain for over 10 years is exceptional.

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Section: Discussionmentioning

confidence: 61%

“…Patients with schizophrenia form the greatest portion of individuals with these injuries 1. However, this phenomenon has received little attention from a psychiatric perspective.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient

Son

Kang

Kim³

et al. 2011

Psychiatry Investig

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“…4 Self-mutilations of the skull are rare in the literature, even in psychotic patients. [8][9][10][11][12][13] A knife blade is the most common agent, but self-penetrating foreign bodies due to suicide attempts or self-mutilation such as pencils, ice picks, power drills, chopsticks, metallic wires, nails, and sewing needles penetrating the cranium have been described in the literature. 14,15 Because of the extremely rare use of skull stabbing as a mode of suicide, the occurrence of a cerebral stab wound should prompt the consideration of assault.…”

Section: Discussionmentioning

confidence: 99%

An Unexpected Intracranial Blade

Vivien

Lamhaut

Carli

2012

Prehospital Emergency Care

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While self-mutilations with stab wounds are relatively common in psychiatric patients suffering from schizophrenia and personality disorders, they are rarely performed as suicidal attempts. Even in psychotic patients, suicidal stab wounds of the skull are rare in the literature. We report the case of a 34-year-old schizophrenic man whom emergency medical services (EMS) providers cared for at his home because of a complete self-amputation of his right hand, without any other apparent wound than a facial laceration. The patient was transferred to the acute surgical ward for evaluation of the possibility reimplantation of the amputated hand. When his neurologic status rapidly declined after hospital admission, a whole-body computed tomography (CT) scan was performed for other injuries. Unexpectedly, cerebral CT scan showed the presence of an intracranial 11-cm-long blade, whose distal tip was located in the left temporal cerebral lobe. Given the nature of the cerebral injuries on CT scan and the major impairment of the neurologic status of the patient, the neurosurgeon considered surgical extraction of the blade to be futile, and the patient's condition rapidly deteriorated to brain death.

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“…Less frequently, these injuries are a result of attempted suicide, stab and goneshot wounds, a nail wound to the head, armed conflict in civilian/military areas, child abuse, or attempted infanticide (12,13). This study reports an interesting case of a nail in the intracranial cavity for more than half of a century.…”

Section: Discussionmentioning

confidence: 99%

A Rare History: an Intracranial Nail Present for Over a Half-Century

Durmaz¹,

Özer

Çamlar

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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We present a rare case of a patient with a persistent headache for many years found to have an intracranial nail present for nearly 65 years. The nail was found entering approximately 1 cm from the midline on the left side, passing below the superior sagittal sinus, with the tip 1.5 mm right of the frontal horn of the lateral ventricle. Treatment strategies designed to optimize outcome for intracranial foreign bodies and possible complications are discussed in this report. We also discuss the decision for surgical intervention for foreign bodies and the relevance of position of the foreign body.

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Intracranial Self-Stabbing

Abstract: Intracranial self-stabbing appears to be an under-recognized form of self-harm that is associated with, but not limited to, psychotic illness.

Cited by 20 publications

References 50 publications

Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient

Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient

An Unexpected Intracranial Blade

A Rare History: an Intracranial Nail Present for Over a Half-Century

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