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Updated: Jun 17, 2026

06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Attempted suicide with screw penetration into the cranium
Berker Cemil1, Kağan Tun, Okan Yiğenoğlu
11st Department of Neurosurgery, Ankara Numune Training and Research Hospital, Ankara, Turkey. berker5@yahoo.com
Summary
This case report details the successful removal of an intracranial screw from a patient's right parietal lobe after a suicide attempt. Prompt surgical intervention and long-term monitoring are crucial for managing such penetrating brain injuries.
Area of Science:
- Neurosurgery
- Trauma Surgery
Background:
- Intracranial foreign bodies often result from penetrating trauma.
- Objects like nails, knives, bullets, and shrapnel have been documented in penetrating brain injuries.
Observation:
- A 34-year-old prisoner presented with an intracranial screw in the right parietal lobe.
- The foreign body was self-inflicted during an attempted suicide.
Findings:
- Surgical removal of the intracranial screw was successfully performed via a right parietal craniectomy.
- The patient's condition was managed through surgical intervention.
Implications:
- Preoperative identification of penetrating brain injury type is vital for surgical planning.
- Long-term radiological assessment is recommended to prevent complications like cerebral abscess.

