Intracranial Foreign Body in a Patient With Paranoid Schizophrenia.

Andereggen, Lukas; Biétry, Damien; Kottke, Raimund; Andres, Robert (2017). Intracranial Foreign Body in a Patient With Paranoid Schizophrenia. Journal of craniofacial surgery, 28(7), e685-e687. Lippincott Williams & Wilkins 10.1097/SCS.0000000000003843

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Self-inflicted penetrating head injuries in patients with paranoid schizophrenia are an infrequent phenomenon. The authors report on a psychiatric patient who presented with epistaxis. Computed tomography showed a nail passing from the nasal cavity into the frontal lobe. Given the proximity to large intracranial vessels, a craniotomy was performed and the nail was retracted. The patient later reported having hammered the nail into the nasal cavity with the intention to "kill the voice in my head." Despite use of the latest imaging modalities, metal artifacts may have limited the assessment of vascular involvement. Surgical decision-making preventing secondary damage is crucial in them.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Andereggen, Lukas; Biétry, Damien; Kottke, Raimund and Andres, Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1049-2275

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

13 Nov 2017 08:46

Last Modified:

14 Nov 2017 07:06

Publisher DOI:

10.1097/SCS.0000000000003843

PubMed ID:

28885436

URI:

https://boris.unibe.ch/id/eprint/105346

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