Maghsoudi Mohammadreza, Shahbazzadegan Bita, Pezeshki Arastoo
Emergency Department, Tehran University of Medical Sciences, Tehran, IR Iran.
School of Medicine, Ardabil University of Medical Sciences, Ardabil, IR Iran; Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Trauma Mon. 2016 May 1;21(2):e22206. doi: 10.5812/traumamon.22206. eCollection 2016 May.
Intracranial needles are rare entities. Intracranial foreign bodies due to non-missile intracranial penetrations are one of the most rarely encountered situations in neurosurgery. Sewing needles are among the more unusual foreign bodies that may be found in the brain. Although uncommon, foreign body cases are important and interesting. Foreign bodies enter the body through trauma or iatrogenic injuries. Needles are mostly inserted through fontanelles, cranial sutures, and more rarely through the orbits in infancy for the purpose of killing unwanted babies.
This article presents a case of intracranial foreign body found upon radiography. A 24-year-old female, who two days prior to presentation suffered only once from dizziness, and was otherwise healthy.
Because this incident may have occurred during the patient's neonatal period, it may be a case of child abuse. In spite of the very limited number of cases in the literature, having a stepmother, a stepfather, or a babysitter, being the youngest child, or having family members who suffer from psychiatric disorders, (especially if these relatives are responsible for child care), living in a society that allows homicide of children born from extramarital relationships, and being female have been suggested as possible risk factors.
颅内针是罕见的异物。非导弹性颅内穿透导致的颅内异物是神经外科中最罕见的情况之一。缝针是在大脑中可能发现的较为不寻常的异物之一。虽然不常见，但异物病例很重要且有趣。异物通过外伤或医源性损伤进入人体。针大多通过囟门、颅缝插入，在婴儿期通过眼眶插入的情况更为罕见，目的是杀死 unwanted 婴儿。
本文介绍了一例经影像学检查发现的颅内异物病例。一名24岁女性，在就诊前两天仅出现过一次头晕，其他方面健康。
由于该事件可能发生在患者新生儿期，可能是虐待儿童的案例。尽管文献中此类病例数量非常有限，但有继母、继父或保姆，是最小的孩子，或有患有精神疾病的家庭成员（特别是如果这些亲属负责照顾孩子），生活在允许杀害非婚生子女的社会中，以及女性，都被认为是可能的风险因素。
