TY - JOUR PY - 2023// TI - Self-inflicted penetrating brain injuries with preserved neurological function: a case series JO - Chinese neurosurgical journal A1 - Shaukat, Shuja A1 - Zaidi, Syeda Mahrukh Fatima A1 - Khatri, Adil A1 - Siddiqui, Mishal Shan A1 - Khulsai, Muhammad Sameer A1 - Ansari, Abdul Basit A1 - Ayesha, Shabih A1 - Khan, Atiq Ahmed A1 - Imran, Muhammad SP - e15 EP - e15 VL - 9 IS - 1 N2 - BACKGROUND: Penetrating trauma to the brain is a rare mode of self-harm in individuals with depressive psychosis. It may have variable presentations ranging from intact neurological status to non-survivable damage and the subjects may be surprisingly apathetic to pain. It is even unusual for such an injury to have an excellent prognosis despite coming late to clinical attention. CASE PRESENTATIONS: We report two cases of patients with psychotic depression who attempted suicide by hammering nails into their heads. On imaging, deep penetration within the brain parenchyma was noted; however, neither case had any neurological deficit or symptoms attributable to brain trauma.

CONCLUSIONS: Self-inflicted penetrating brain injuries with peculiar objects such as nails are rarely encountered in practice. They need prompt management for their removal and addressing the underlying mental health illnesses.

Language: en

LA - en SN - 2095-9370 UR - http://dx.doi.org/10.1186/s41016-023-00328-1 ID - ref1 ER -