Intracranial foreign metal body (sewing needle): A case report of infanticide attempt

Cover Page

Cite item

Abstract

During a mandatory examination of a 25-year-old soldier in a psychiatric clinic, psychopathy features were observed, and an intracranial foreign metal body, a sewing needle, was found. The patient and his parents did not know the existence of the intracranial sewing needle until the examination. The parents could not give any anamnestic information to the doctor regarding the existence of the sewing needle in the intracranial region.

Clearly, the sewing needle can be entered into intracranial region only till the period in which the sinciput becomes firm. As the needle tip was pointing down, the needle was deemed pricked intentionally. Further investigation showed that the patient was the only grandson in the family, near relatives enviously placed the sewing needle into his intracranial region from the sinciput to murder him while he was still a baby. The accident was evaluated as a result of an unsuccessful crime.

Thus, instrumental examinations (roentgenography of the skull in two projections, computed tomography, nuclear magnetic resonance examination, etc.) are necessary for patients with psychiatric problems.

About the authors

Elshad S. Mehdiyev

Main Clinical Hospital of the Ministry of Defense

Author for correspondence.
Email: elshadmehdiyev@yahoo.com
ORCID iD: 0000-0001-8725-9143
SPIN-code: 4575-8393

MD, Cand. Sci. (Med.)

Azerbaijan, Baku

References

  1. Bakay L, Glasauer FE, Drand W. Unusual intracranial foreing bodies. Acta Neurochir (Wien). 1977;39(3-4):219–231. doi: 10.1007/BF01406732
  2. Deepak KS, Vishnu G, Sanjeev C, Pankaj G. Teeth in the brain: An unusual presentation of penetrating head injury. Ind J Neurotravma. 2008;5(2):117–118. doi: 10.1016/S0973-0508(08)80013-5
  3. Dujovny M, Osgood CP, Maron JC, Jannetta PJ. Penetrating intracranial foreign bodies in children. J Trauma. 1975;15(11):981–986. doi: 10.1097/00005373-197511000-00007
  4. Alp R, Alp SI, Üre H. Two intracranial sewing needles in a young woman with hemi-chorea. Parkinsonism Relat Disord. 2009;15(10):795–796. doi: 10.1016/j.parkreldis.2009.04.005
  5. Yılmaz N, Kıymaz N, Yılmaz C, et al. Intracranial foreign bodies causing delayed brain abscesses: Intracranial sewing needles. Case illustration J Neurosurg. 2007;106(4):323. doi: 10.3171/ped.2007.106.4.323
  6. Unal N, Babayigit A, Karababa S, Yilmaz S. Asymptomatic intracranial sewing needle: An unsuccessful infanticide attempt? Pediatr Int. 2005;47(2):206–208. doi: 10.1111/j.1328-0867.2005.02023.x
  7. Maghsoudi M, Shahbazzadegan B, Pezeshki A. Asymptomatic intracranial foreign body: An incidental finding on radiography. Trauma Mon. 2016;21(2):e22206. doi: 10.5812/traumamon.22206
  8. Deveer M, Imamoglu F, Imamoglu C, Okten S. An incidental case of asymptomatic intracranial foreign body on CT. BMJ Case Rep. 2013;2013:bcr2013010230. doi: 10.1136/bcr-2013-010230
  9. Topuz AK, Güven G, Çetinkal A, et al. Late epilepsy due intracranial sewing needle: Case report. Turk J Neurol. 2008;14(5):353–356.
  10. Chandran AS, Honeybul S. A case of psychosis induced selfinsertion of intracranial hypodermic needles causing seizures. J Surg Case Rep Rju. 2015;2015(1):rju145. doi: 10.1093/jscr/rju145
  11. Pelin Z, Kaner T. Intracranial metallic foreign bodies in a man with a headache. Neurol Int. 2012;4(3):e22206. doi: 10.4081/ni.2012.e18
  12. Hansen JE, Gudeman FE, Holgate RC, Sanders RA. Penetrating intracranial wood wounds: Clinical limitations of computerized tomography. J Neurosurg. 1988;68(5):752–756. doi: 10.3171/jns.1988.68.5.0752
  13. Kaiser MC, Rodesch G, Capesius P. CT in a case of intracranial penetration of a pencil. A case report. J Neuroradiology. 1983;24(4):229–231. doi: 10.1007/BF00399777
  14. Tuncer N, Yayci N, Ekinci G, et al. Intracranial sewing needle in a man with seizure: case of child abuse? Forensic Sci Int. 2007;168(2-3):212–214. doi: 10.1016/j.forsciint.2006.02.010
  15. Teegala R, Menon SK, Panikar D. Incidentally detected intracranial sewing needls: An engima. Neurology India. 2006;54(4):447. doi: 10.4103/0028-3886.28133
  16. Sener RN. Intracranial sewing needles in a 20 year old patient. J Neuroradiol. 1997;24(3):212–214.
  17. Hao D, Yang Z, Li F. A 61 year old man with ıntracranial sewing needle. J Neurol Neurophysiol. 2017;8(2):420. doi: 10.4172/2155-9562.1000420
  18. Tun K, Kaptanoglu E, Turkoglu OF, et al. Intracranial sewing needle. J Clin Neurosci. 2006;13(8):855–856. doi: 10.1016/j.jocn.2005.06.018
  19. Rahimzadeh A, Sabouri-Daylami M, Tabatabi M, et al. Intracranial sewing needles. J Neurosurgery. 1987;20(4):666. doi: 10.1097/00006123-198704000-00030
  20. Yolas C, Aydin MD, Ozdikici M, et al. Intracerebral sewing needle. Pediatr Neurosurg. 2007;43(5):421–423. doi: 10.1159/000106396
  21. Abbassioun K, Ameli NO, Morshed AA. Intracranial sewing needles: Review of 13 cases. J Neurol Neurosurg Psychiatry. 1979;42(11):1046–1049. doi: 10.1136/jnnp.42.11.1046
  22. Amirjamshidi A, Ghasvini AR, Alimohammadi M, Abbassioun K. Attempting homicide by inserting sewing needle into the brain: Report of 6 cases and review of literature. Surg Neurol. 2009;72(6):635–641. doi: 10.1016/j.surneu.2009.02.029
  23. Heshmati B, Mehin S, Hanaei S, Nejat F. Introduction of sharp objects in to brain with infanticidal intention. Iran J Pediatr. 2015;25(5):e2660. doi: 10.5812/ijp.2660
  24. Ilbay K, Albayrak BS, Ismailoglu O, Gumustas S. Letter to the editor: An incidental diagnosis of four adjacent intracranial sewing needles in a 16-year-old boy: A survivor of an infanticide attempt? J Forensic Sci. 2011;56(3):825. doi: 10.1111/j.1556-4029.2011.01729.x
  25. Sturiale CL, Massimi L, Mangiola A, et al. Sewing needles in the brain: Infanticide attempts or accidental insertion? Neurosurgery. 2010;67(4):E1170–1179. doi: 10.1227/NEU.0b013e3181edfbfb

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Radiography in lateral (a, b) and direct (c) projections: Intracranial foreign metal body (sewing needle).

Download (117KB)

Copyright (c) 2023 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies