Intracranial sewing needle in a man with seziure: A case of child abuse?

Tuncer, Neşe; Yaycı, Nesime; Ekinci, Gazanfer; İnanıcı, Mehmet Akif; Elmacı, İlhan

doi:10.1016/j.forsciint.2006.02.010

Cited by 22 publications

(35 citation statements)

References 15 publications

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“…According to the majority of authors, if the foreign bodies are discovered incidentally, conservative management should be considerated [12,13]. Leaving the needles in brain poses a number of potential risks, including seizure, headache, infection, migration of the needles and subsequent neurological injury.…”

Section: Discussionmentioning

confidence: 99%

A 61 Year Old Man with Intracranial Sewing Needle

Hao¹,

Zhen-tao²,

Li³

2017

J Neurol Neurophysiol

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Intracranial foreign bodies are rare entities, sewing needles are even more so. There are very few cases reported in scientific literature. Most of the patients presented with headache or seizure, but some of them were asymptomatic. We detail a 61 year old man who was admitted to our hospital with slight dizzy and accidently found a sewing needle in his brain. Fortunately, he suffered no headache or epileptic seizure and was asymptomatic during the past years.

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Section: Discussionmentioning

confidence: 99%

A 61 Year Old Man with Intracranial Sewing Needle

Hao¹,

Zhen-tao²,

Li³

2017

J Neurol Neurophysiol

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“…If the first homicide attempt were not successful, a second, third, or even more attempts might be performed to harm the victim [14]. There are reports of insertion of needles to the other parts of victims' body such as chest and abdomen [12][13][14][15][16]. But the patient presented here is from the Zhuang ethnicity.…”

Section: Historymentioning

confidence: 96%

“…There are many reports of foreign objects retained in the brain for long periods of time without any symptoms [8,16]. Tuncer et al [16] reported a man who first experienced a Generalized Tonic-Clonic (GTC) seizure at the age 32 years old.…”

Section: The Clinical Symptomsmentioning

confidence: 99%

“…Tuncer et al [16] reported a man who first experienced a Generalized Tonic-Clonic (GTC) seizure at the age 32 years old. Ameli et al [14] reported a 32-year-old man who had developed epilepsy 8 years earlier.…”

Section: The Clinical Symptomsmentioning

confidence: 99%

“…Tuncer et al [16] suggests that surgical removal is not indicated in asymptomatic patients. Similarly, Ilbay et al [19] recommends conservative approach if the patient is symptom-free and diagnosis is purely incidental and there is no risk of infection.…”

Section: Managementmentioning

confidence: 99%

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Intracranial foreign body through the sagittal sinus: case report and review of literature

et al. 2016

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Objective: To investigate therapeutic effect of surgery that removes an intracranial foreign body through the intracranial sagittal sinus with help of intraoperative navigation and intraoperative fluorescein angiography. Methods: We performed operation on a patient with intracranial foreign body. Under guidance of intraoperative navigation, combined with intraoperative fluorescein angiography to avoid sagittal sinus damage, we opened the dura mater and removed the foreign body with minimally invasive technique. Results: Surgical positioning was very accurate with neuronavigation, intraoperative fluorescein angiography displayed the venous drainage along the sagittal sinus in order to prevent its rupture; the intracranial foreign body was removed successfully without any post-operative complications. Conclusion: Intraoperative navigation and intraoperative fluorescein angiography technologies to guide the removal of the foreign metal body inserted through the sagittal sinus have the following advantages: Accurate positioning, minimally invasive, reliable curative effect, quick postoperative recovery and overall fewer complications.

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