Shim Yu Shik
Department of Neurosurgery, Inha University Hospital, Incheon, Korea.
Korean J Neurotrauma. 2021 Nov 12;18(1):95-97. doi: 10.13004/kjnt.2022.18.e1. eCollection 2022 Apr.
The author presents a 48-year-old man who showed an intracranial sewing needle incidentally detected on a skull radiograph. He had no history of cranial surgery or a penetrating head injury. On radiography, the sewing needle was found to be located close to the frontal bone in the midline, with a trajectory to the right anterior skull base. Computed tomography angiography revealed that the needle head was located at an approximately 3.57 mm depth from the inner table and attached to the cortical vein. The distal end of the needle was surrounded by the right distal pericallosal artery. No cortical injury or vascular injury was observed. The needle may have penetrated during the early period before the closure of the anterior fontanelle.
作者介绍了一名48岁男性，其颅骨X线片偶然发现一枚颅内缝针。他没有颅脑手术史或头部穿透伤史。在X线片上，缝针位于中线靠近额骨处，轨迹指向右前颅底。计算机断层血管造影显示针头位于距内板约3.57毫米深处，并附着于皮质静脉。针的远端被右侧胼周动脉远端环绕。未观察到皮质损伤或血管损伤。这枚针可能在前囟闭合的早期就已刺入。
