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Self-Trephination Resulting in Exposed Brain Matter and Cerebral Abscess in a Schizophrenic Patient With Delusions
Dipesh Bhatt1, Elliot Sanchez1, Taleah Angus1
1Department of Surgery, Nassau University Medical Center, East Meadow, USA.
Cureus
|February 6, 2025
Summary
This case study details a patient with schizophrenia who self-trephined, leading to severe cranial infection and brain abscess. Integrated care and hyperbaric oxygen therapy (HBOT) were crucial for recovery.
Area of Science:
- Neurosurgery
- Psychiatry
- Infectious Disease
Background:
- A 56-year-old woman with schizophrenia presented with foreign body delusions leading to chronic self-inflicted scalp and skull excavation.
- This resulted in a severe cranial wound with purulent discharge, pneumocephalus, subdural hematomas, osteomyelitis, and a brain abscess.
Keywords:
foreign body delusionsschizophreniaself-inflicted brain injuryself-inflicted injuryself-trephinationtraumatic brain injuryMore Related Videos
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