Repetitive Self-Inflicted Craniocerebral Injury in a Patient with Antisocial Personality Disorder

Self-inflicted penetrating injuries in patients with mental disorders are a rare phenomenon. The authors report the case of a prisoner who recurrently presented to the emergency department over a period of four years for self-insertion of six metal foreign bodies into the skull. Computed tomography...

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Published inDiagnostics (Basel) Vol. 14; no. 14; p. 1549
Main Authors Cucu, Andrei Ionut, Costea, Claudia Florida, Silișteanu, Sînziana Călina, Blaj, Laurentiu Andrei, Istrate, Ana Cristina, Patrascu, Raluca Elena, Hartie, Vlad Liviu, Patrascanu, Emilia, Turliuc, Mihaela Dana, Turliuc, Serban, Sava, Anca, Boişteanu, Otilia
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.07.2024
Subjects
Antibiotics
Antisocial personality disorder
Foreign bodies
Head injuries
holesurub
Injuries
intracranial foreign body
Local anesthesia
Mental disorders
Mental illness
nail
Patients
Psychosis
Schizophrenia
self-inflicted craniocerebral injury
Romania
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Summary:Self-inflicted penetrating injuries in patients with mental disorders are a rare phenomenon. The authors report the case of a prisoner who recurrently presented to the emergency department over a period of four years for self-insertion of six metal foreign bodies into the skull. Computed tomography each time revealed the presence of a metal foreign body (screw, nail, metal rod, and wire) passing through the frontal bone into the frontal lobe. In each situation, the foreign body was safely extracted with a favorable outcome. Despite the use of the latest imaging modalities, metal artifacts can limit the assessment of vascular involvement, and special attention must be given to preoperative planning. Surgical extraction of the foreign body can be safely performed when appropriate preoperative planning is carried out to consider all possible complications.
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ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics14141549