Attempted suicide with screw penetration into the cranium

Intracranial foreign bodies are usually secondary to penetrating injuries. Nails, knives, screwdrivers, sewing needles, bullets, and shrapnel have been described related to penetrating brain injury. In this report, we present a 34-year-old prisoner with an intracranial screw located in the right parietal lobe. The screw was used by prisoner in an attempted suicide. A right parietal craniectomy was performed, and the screw was removed successfully. It is important to know the type of penetrating brain injury preoperatively in order to determine the best surgical approach to remove the foreign body settled in the brain. A long-term radiological assessment should be performed to detect any future complications, such as a cerebral abscess.

Kraniyumda vidalama ile intihar giriþimi

Yabancý cisimler kafa içine sýklýkla penetran kafa travmalarý sonrasýnda yerleþmektedirler. Çiviler, býçaklar, tornavidalar, dikiþ iðneleri, kurþunlar ve þarapnel parçalarý penetran beyin hasarý ile ilgili bulunmuþlardýr. Bu yazýda, sað paryetal lobunda intrakraniyal olarak vida bulunan 34 yaþýnda bir olgu sunuldu. Mahkûm olgu, intihar giriþiminde vida kullanmýþtý. Vida sað paryetal kraniyektomi ile baþarýlý þekilde çýkartýldý. Ameliyat öncesi penetran kafa travmasýnýn tipinin bilinmesi, beyinde bulunan yabancý cismin çýkarýlmasý için kullanýlacak en iyi yöntemin belirlenmesini saðlamaktadýr. Uzun süreli radyolojik takip ileride oluþabilecek beyin apsesi gibi komplikasyonlarýn saptanmasý için gereklidir.