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Author Spotlight: Enhancing Microinjection Needle Quality by Wet Beveling
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The Wandering Charm Needle.

Vimbai Chekenyere1, Emma Choon Hwee Lee1, Winston Eng Hoe Lim1,2

  • 1Division of Radiological Sciences, Singapore General Hospital, Singapore.

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Summary
This summary is machine-generated.

Charm needles, or susuk, are believed to bring magical benefits but can cause complications. This report details the first documented case of a susuk needle migrating into the brain.

Keywords:
Charm needleForeign bodiesRadiologySusuk

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Area of Science:

  • Medical Case Reports
  • Neurosurgery
  • Cultural Practices

Background:

  • Charm needles (susuk) are subcutaneous talismans common in Southeast Asia.
  • They are generally considered benign, with no reported complications in medical literature.
  • Susuk are typically made of inert precious metals and rarely migrate.

Observation:

  • A middle-aged Chinese female presented with a complication from a charm needle.
  • The susuk was inserted subcutaneously into the occipital scalp.
  • The needle migrated through the skull into the left cerebellar hemisphere.

Findings:

  • This case represents the first reported complication of a charm needle in the English medical literature.
  • The migration of the subcutaneous charm needle into the brain parenchyma is a significant finding.
  • Highlights potential risks associated with practices involving subcutaneous foreign bodies.

Implications:

  • Challenges the perception of susuk as entirely benign.
  • Emphasizes the need for awareness among healthcare professionals regarding rare complications of cultural practices.
  • Suggests that even biologically inert materials can pose risks if they migrate intracranially.