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Paraquat is a highly toxic compound and a widely used herbicide that causes serious morbidity and mortality. The most well-known route of poisoning is oral ingestion, whereas parenteral injection of paraquat is individually uncommon. We present a case who injected paraquat in his neck in an attempt to commit suicide. His general condition got worsened gradually over 3 days. He received early hemodialysis in 4 h after self-injection and then supportive treatment in intensive care unit. Early hemodialysis helped him survive, but during hospitalization, some rare complications occurred, and unfortunately, he died after 3 months. Despite the high-risk route of poisoning, the patient survived for 3 months. Our patient was protected from renal and hepatic damage may be because of early hemodialysis but suffered from central nervous system and pulmonary damage.

BackgroundIt has been so long since a child was rst diagnosed with paroxysmal hemicrania, however, it is unknown whether children's paroxysmal hemicrania follows the same patterns as adults. We aim to report the accessible demographic, clinical and radiological characteristics of reported pediatric paroxysmal hemicrania. MethodsThis study followed the latest version of PRISMA. PubMed, Web of Science, and Scopus were searched systematically without time limitation. We included all peer-reviewed articles including observational or interventional studies reporting paroxysmal hemicrania cases in children or adolescents based on ICHD criteria. Data extracted included paroxysmal hemicrania class, gender, age, age of onset, frequency, duration, site, severity, and quality of pains, triggers, autonomic and migrainous symptoms, as well as a