Extended extra- and intracerebral ulceration and brain abscess following self-mutilation in an auto-aggressive 51-year-old woman: case report.
In neurosurgical practice, the operative treatment of deep or infected wounds caused by auto-mutilation is quite rare, especially in the neurocranium. We present an extraordinary case of an auto-aggressive 51-year-old female suffering from a deeply ulcerated wound on the right frontal skull with consecutive brain abscess, caused manually with needles and forceps over a period of 8 months. The clinical course is present ed together with a description of the conservative and surgical regimen and is illustrated with photographs and CT and MRI images.
Schebesch
K M
KM
Department of Neurosurgery, University of Regensburg, Regensburg, Germany. kalle.schebesch@web.de
Herbst
A
A
Schoedel
P
P
Rockmann
F
F
Brawanski
A
A
D001922:Brain Abscess / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D001927:Brain Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009336:Necrosis; D019635:Neurosurgical Procedures; D010014:Osteolysis / Q000473:pathology; D012652:Self Mutilation / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000209:etiology / Q000473:pathology; D014945:Wound Healing