Oliyath Ali ENT & HNS Surgeon District Hospital, Kargil, Ladakh, India.
Ishrit Yasin Dental Surgeon District Hospital Kargil, Ladakh, India.
Br J Neurosurg. 2023 Jun;37(3):354-356. doi: 10.1080/02688697.2020.1759783. Epub 2020 May 6.
Patients with intracranial needles have rarely been reported. Several foreign bodies penetrating the cranium such as knives, nails, pencils, and wood pieces have been described in the literature. It is rare to discover a foreign body which has been inserted through either of the fontanelles before their closure in an attempted infanticide. Here we report one such rare case of intracranial sewing needle in a 24-year-old female which was accidentally inserted through the open anterior fontanelle from the traditional skull cap she was wearing during infancy. The needle was discovered incidentally on a routine skull radiograph done for a minor head injury. It was decided against any intervention to remove the needle owing to the fact that the presence of the foreign object was not causing any symptoms.
颅内有针的患者很少见。文献中描述了几种穿透颅骨的异物,如刀、钉子、铅笔和木块。在试图杀婴时,发现囟门未闭时从前囟门插入的异物很罕见。我们在此报告一例罕见的颅内缝针病例,该病例是 24 岁女性,在婴儿期戴传统的帽子时,针意外从前囟门插入颅内。常规颅骨 X 线片检查发现轻度头部外伤,偶然发现了这根针。由于异物的存在没有引起任何症状,因此决定不进行任何干预取出该针。