Sickle Injury to Brain

Abstract

We reported a case of a 12-year-old girl child with an uncommon intracranial metallic foreign body who was hit by her younger sister with sickle that got stuck to skull. Patient presented to us with stuck sickle in her head and was fully conscious with complaint of headache. She was very much afraid of her injury and was screaming with pain and fear. There was no neurological weakness. Computed tomography scan revealed that metallic foreign body was located adjacent to the confluence of major sinuses posteriorly on her skull. The location and position of foreign body suggested that it was of low velocity, and was hit from pointed end of sickle. It was taken out after doing craniectomy all around the sickle point and dural tear was repaired with pericranium. The postoperative course was uneventful.

A Rare Case of Chronic Intracerebral Foreign Body

“…These medical instruments can cause intracranial granuloma and is very difficult to distinguish from a recurrent tumor, even on the MRI. 1,4 In this case, the result of the CT scan examination found tubular intracranial foreign bodies that resembled nails.…”

“…Currently, foreign bodies are often found as a result of self-harm in patients with mental disorder. [1][2][3][4] About 40% of cranial penetration trauma cases are fatal due to damage to important structures, vascular disorders, and meningitis. However, there was an increasing proportion of patients survived this trauma and are discharged from the hospital in stable condition and returning to work.…”

“…However, this imaging can prove fatal in intracranial foreign body cases. Therefore, staged evaluation should be conducted in patients with headache 1,2,6. Cerebrovascular injury causes various pathological consequences, such as arterial dissection, pseudoaneurysm, arteriovenous fistula, arterial or venous rupture or thrombosis, blood vessel perforation, carotid-cavernous fistula, and even fatal epistaxis.…”