Intracranial sewing needle in a man with seizure: a case of child abuse?
Physical abuse in infancy can cause persistent neurological deficits. Although intracranial foreign bodies are generally secondary to penetrating trauma or surgical procedures, rarely they also occur as a result of child abuse. A 32-year-old man presented with the complaint of generalized tonic clonic seizures to the Neurology Department of Marmara, University Hospital. Computerized tomography (CT) scan revealed a sewing needle located within the temporal lobe. The location and the position of the needle suggested that it must have been introduced in infancy through the lamdoid suture before the closure of it, as an unsuccessful deliberate homicide attempt or accidental injury.
Marmara University, School of Medicine, Department of Neurology, 36. Ada Ata 2-5 Daire:110 Ataşehir, Istanbul, Turkey. nesetuncer@yahoo.com
Neşe
N
Tuncer
Nesime
N
Yayci
Gazanfer
G
Ekinci
Mehmet Akif
MA
Inanici
Ilhan
I
Elmaci
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D002649:Child Abuse; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008297:Male; D009339:Needles; D011859:Radiography; D012640:Seizures / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013702:Temporal Lobe; D016896:Treatment Outcome
D000927:Anticonvulsants; D002220:Carbamazepine