Indian Journal of Neurotrauma 2016; 13(02): 104-106
DOI: 10.1055/s-0036-1586217
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Attempted Suicide with Needle Penetration through Cranial Defect: A Rare Case Report

Sajad Hussain Arif
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
,
Uday Singh Raswan
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
,
Masood Laharwal
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
,
Altaf Umar Ramzan
1   Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
› Author Affiliations
Further Information

Publication History

01 May 2016

21 June 2016

Publication Date:
26 July 2016 (online)

Abstract

Intracranial foreign bodies are usually secondary to penetrating injuries through the orbit, ear, or cranial bones. Nails, knives, screwdrivers, sewing needles, bullets, and shrapnel have been described related to penetrating brain injury (PBI). The majority of deaths from trauma reflect unintentional accidents, but a significant minority follow suicide and even a smaller proportion (less than 10%) reflect homicide. Self-inflicted injuries among psychiatric patients are not uncommon. We report a rare case of a 35-year-old woman who tried to commit suicide by inserting a needle in her brain through cranial defect. Needle was removed and patient recovered uneventfully. Awareness of the psychological condition and suicide precautionary measures should be kept in mind in all cases of self-inflicted PBI patients.

 
  • References

  • 1 Cemil B, Tun K, Yiğenoğlu O, Kaptanoğlu E. Attempted suicide with screw penetration into the cranium. Ulus Travma Acil Cerrahi Derg 2009; 15 (6) 624-627
  • 2 Bhaganagare A, Nandkarni T, Goel A. Penetrating craniocerebral injury with nails. Indian J Neurotrauma 2007; 4 (1) 63-64
  • 3 Kelly DF, Nikas DL, Becker DP. Diagnosis and treatment of moderate and severe head injuries in adults. In: Winn HR. Youmans Neurological Surgery. Philadelphia: Elsevier Saunders; 1996: 1618-1718
  • 4 Seex K, Koppel D, Fitzpatrick M, Pyott A. Trans-orbital penetrating head injury with a door key. J Craniomaxillofac Surg 1997; 25 (6) 353-355
  • 5 Kieck CF, de Villiers JC. Vascular lesions due to transcranial stab wounds. J Neurosurg 1984; 60 (1) 42-46
  • 6 Satyarthee GD, Borkar SA, Tripathi AK, Sharma BS. Transorbital penetrating cerebral injury with a ceramic stone: report of an interesting case. Neurol India 2009; 57 (3) 331-333
  • 7 Rashid BA, Afzal WM, Kirmani AR , et al. Disaster management of civilian gunshot head wounds in north Indian state. Indian J Neurotrauma 2009; 6 (1) 27-42
  • 8 Kazim SF, Shamim MS, Tahir MZ, Enam SA, Waheed S. Management of penetrating brain injury. J Emerg Trauma Shock 2011; 4 (3) 395-402