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一例由颅内异物引起的磁共振成像(MRI)诱发头痛病例。

A case of MRI-induced headache caused by an intracranial foreign body.

作者信息

Tokue Hiroyuki, Tokue Azusa, Tsushima Yoshito

机构信息

Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Maebashi, Gunma 371-8511, Japan.

出版信息

BJR Case Rep. 2024 Aug 29;10(5):uaae030. doi: 10.1093/bjrcr/uaae030. eCollection 2024 Sep.

DOI:10.1093/bjrcr/uaae030
PMID:39258139
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11384109/
Abstract

This case report delves into a unique occurrence of MRI-induced headaches attributed to an unsuspected intracranial foreign body. A male patient, presenting persistent headaches, experienced exacerbation of pain upon entering the MRI suite, hindering the imaging procedure. A subsequent head CT scan revealed a nail within the cranial cavity, stemming from a previous nail gun injury. Surgical removal was deemed unsafe, leading to continued observation. This case emphasizes the need for cautious exploration of abnormal symptoms in the MRI suite, urging healthcare professionals to consider potential foreign bodies. The incident underscores the risk of metallic fragments causing complications during MRI procedures and highlights the importance of thorough patient assessment before resorting to MRI imaging.

摘要

本病例报告深入探讨了一例因意外颅内异物导致的磁共振成像(MRI)诱发头痛的独特病例。一名男性患者持续头痛,进入MRI检查室后疼痛加剧,导致成像检查受阻。随后的头部CT扫描显示颅腔内有一枚钉子,源于之前的射钉枪损伤。手术取出被认为不安全,因此持续观察。该病例强调了在MRI检查室中对异常症状进行谨慎排查的必要性,敦促医疗保健专业人员考虑潜在的异物。该事件凸显了金属碎片在MRI检查过程中引发并发症的风险,并强调了在进行MRI成像之前对患者进行全面评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c15/11384109/97e3136cadb8/uaae030f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c15/11384109/97e3136cadb8/uaae030f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c15/11384109/97e3136cadb8/uaae030f1.jpg

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本文引用的文献

1
Penetrating Head Injury by a Nail Gun: Case Report, Review of the Literature, and Management Considerations.射钉枪所致穿透性颅脑损伤:病例报告、文献综述及治疗考量
J Stroke Cerebrovasc Dis. 2017 Aug;26(8):e143-e149. doi: 10.1016/j.jstrokecerebrovasdis.2017.04.004. Epub 2017 May 24.
2
Intracranial metallic foreign bodies in a man with a headache.一名头痛男子颅内的金属异物。
Neurol Int. 2012 Oct 5;4(3):e18. doi: 10.4081/ni.2012.e18. Epub 2012 Dec 6.
3
Sewing needles in the brain: infanticide attempts or accidental insertion?
大脑中的缝纫针:是故意杀人还是意外插入?
Neurosurgery. 2010 Oct;67(4):E1170-9; discussion E1179. doi: 10.1227/NEU.0b013e3181edfbfb.
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Intracranial sewing needles.颅内缝针。
Neurosurgery. 1987 Apr;20(4):666. doi: 10.1097/00006123-198704000-00030.
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Successful removal of an intracranial needle by an ophthalmologic magnet: case report.眼科磁铁成功取出颅内针:病例报告。
J Trauma. 1990 Jan;30(1):114-5. doi: 10.1097/00005373-199001000-00020.