Citation

Iwakura M, Kawaguchi T, Hosoda K, Shibata Y, Komatsu H, Yanagisawa A, Kohmura E. Neurol. Med. Chir. 2005; 45(3): 172-175.

Copyright

(Copyright © 2005, Japan Neurosurgical Society)

DOI

10.2176/nmc.45.172

PMID

15782012

Abstract

A 28-year-old man attempted to kill himself with a knife stab into the parietal area. Neuroimaging showed no vascular impairment except slow venous flow around the knife due to tamponading. After obtaining informed consent, the knife was removed through a craniotomy without new brain injury. Postoperative neurological findings showed no deficit. Follow-up angiography revealed no vascular impairment. No infection occurred. Brain stab wounds cause numerous complications, such as intracranial hemorrhage, injury of important vessels, and infections. Minimal blade movement during removal and precautions to prevent massive hemorrhage are essential.

Language: en

Keywords

Adult; Brain Injuries; Cerebral Angiography; Cerebral Arteries; Cerebral Hemorrhage, Traumatic; Cerebral Veins; Craniotomy; Dura Mater; Head Injuries, Penetrating; Humans; Male; Neurosurgical Procedures; Parietal Bone; Parietal Lobe; Schizophrenia; Skull; Suicide, Attempted; Tomography, X-Ray Computed; Treatment Outcome