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颅内缝针:13例病例回顾

Intracranial sewing needles: Review of 13 cases.

作者信息

Abbassioun K, Ameli N O, Morshed A A

出版信息

J Neurol Neurosurg Psychiatry. 1979 Nov;42(11):1046-9. doi: 10.1136/jnnp.42.11.1046.

DOI:10.1136/jnnp.42.11.1046
PMID:501369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC490399/
Abstract

Three new cases of intracranial sewing needles are reported and are reviewed with 10 other published cases. These needles must have been introduced in infancy before the closure of fontanelles. The intention, at least in most cases, has been infanticide. Except in one case which the mother reported and two cases found at necropsy, the others were diagnosed by skull radiography. Headache and epilepsy were the main symptoms and they often appeared when the patient had reached adulthood. Removal of the needles lessened the symptoms.

摘要

本文报告了3例颅内缝针的新病例,并结合其他已发表的10例病例进行了综述。这些缝针肯定是在婴儿期囟门闭合之前就已进入颅内。至少在大多数情况下,其目的是杀婴。除了1例由母亲报告的病例和2例尸检时发现的病例外,其他病例均通过颅骨X线摄影确诊。头痛和癫痫是主要症状,且常常在患者成年后出现。取出缝针后症状有所减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/490399/17db71aa5215/jnnpsyc00091-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/490399/4d711fb3134f/jnnpsyc00091-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/490399/17db71aa5215/jnnpsyc00091-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/490399/4d711fb3134f/jnnpsyc00091-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/490399/17db71aa5215/jnnpsyc00091-0075-b.jpg

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Intracranial sewing needles: Review of 13 cases.颅内缝针:13例病例回顾
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Incidentally Detected Intracranial Sewing Needle in an Adult: Case Report.成人偶然发现的颅内缝针:病例报告
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A Rare Case of Child Abuse: Multiple Hypodermic Needles Inserted into a Child's Body.一例罕见的虐待儿童案例:多根皮下注射针插入儿童体内。

本文引用的文献

1
Early complications following penetrating wounds of the brain.脑穿透伤后的早期并发症
J Neurosurg. 1971 Feb;34(2 Pt 1):132-41. doi: 10.3171/jns.1971.34.2part1.0132.
2
Sewing needle in the brain with delayed neurological manifestations.脑部缝针伴延迟性神经功能表现。
J Neurosurg. 1961 Jul;18:554-6. doi: 10.3171/jns.1961.18.4.0554.
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[Intracranial sewing needles, an unusual cause of headaches].[颅内缝针,一种不常见的头痛病因]
J Child Adolesc Trauma. 2018 Dec 1;12(3):421-423. doi: 10.1007/s40653-018-0241-9. eCollection 2019 Sep.
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A late onset adult seizure due to intracerebral needle: case-based update.脑内穿刺针导致的迟发性成人癫痫:基于病例的最新情况
Childs Nerv Syst. 2019 Apr;35(4):593-600. doi: 10.1007/s00381-019-04095-2. Epub 2019 Feb 27.
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Migration of a sewing needle foreign body into the brainstem of a cat.一枚缝纫针异物移入猫的脑干。
JFMS Open Rep. 2015 Jun 16;1(1):2055116915589841. doi: 10.1177/2055116915589841. eCollection 2015 Jan-Jun.
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Cerebral foreign body granuloma in brain triggering generalized seizures without obvious craniocerebral injury: A case report and review of the literature.脑内异物肉芽肿引发全身性癫痫发作且无明显颅脑损伤:一例报告并文献复习
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Unexpected foreign body in the leg of an 8-month-old child.一名8个月大儿童腿部出现意外异物。
BMJ Case Rep. 2014 Jul 10;2014:bcr2014204699. doi: 10.1136/bcr-2014-204699.
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That is why people are frightened of needles!
Childs Nerv Syst. 2009 Aug;25(8):907-8. doi: 10.1007/s00381-009-0816-8.
Zentralbl Neurochir. 1958;18(2-3):127-35.
4
Attempted infanticide by insertion of sewing needles through fontanels. Report of two cases.通过囟门插入缝纫针企图杀害婴儿。两例报告。
J Neurosurg. 1970 Dec;33(6):721-3. doi: 10.3171/jns.1970.33.6.0721.
5
An unusual metallic foreign body within the brain. Case report.脑内罕见金属异物。病例报告。
J Neurosurg. 1970 Jan;32(1):95-9. doi: 10.3171/jns.1970.32.1.0095.