El Marrakchi Malak, Zian Nahla, Ait Benali Meryem, Hajhouji Farouk, Ait Benali Said
Department of Neurosurgery, Arrazi Hospital, Mohammed VI University Hospital Center of Marrakesh, Cadi Ayyad University, Faculty of Medicine, Marrakesh, Morocco.
Surg Neurol Int. 2024 Nov 22;15:427. doi: 10.25259/SNI_670_2024. eCollection 2024.
Jael's syndrome is defined as an intentional injury caused by a knife in the skull or the face. It is a rare yet challenging situation in clinical practice. Initial triage is the key to optimal management.
We describe the case of a right-handed 30-year-old man presenting to the emergency for headaches 15 days after a stabbing attack into the skull using a kitchen knife. He was conscious with no neurological deficit or history of seizures. The wound had already healed. A cerebral computed tomography (CT) scan showed a retained kitchen knife blade. The stab wound extended through the temporal lobe and ended a few centimeters before the brainstem. The blade was removed under general anesthesia. Postoperative follow-up was satisfying without any neurological worsening. The control CT scan showed a remaining knife edge in the bone flap. It was decided to monitor the patient regularly, and he was discharged 3 days later.
This case highlights the medicolegal importance of physical examination and radiological exploration in penetrating head injury.
雅亿综合征定义为因刀伤导致的颅骨或面部故意损伤。这在临床实践中是一种罕见但具有挑战性的情况。初始分诊是优化管理的关键。
我们描述了一名30岁右利手男性的病例，他在被用菜刀刺伤颅骨15天后因头痛前往急诊科。他意识清醒，无神经功能缺损或癫痫病史。伤口已经愈合。脑部计算机断层扫描（CT）显示有一把菜刀刀片残留。刺伤伤口穿过颞叶，在脑干前几厘米处结束。在全身麻醉下取出了刀片。术后随访情况良好，无任何神经功能恶化。对照CT扫描显示骨瓣中有残留的刀刃。决定定期对患者进行监测，3天后他出院了。
该病例突出了穿透性头部损伤中体格检查和影像学探查的法医学重要性。
