Intentional Self-Inflicted Transcranial Screwdriver Injury: A Case Report
Matthew T Montgomery1, Caleb W Brown1, Jennifer M Osher1
1Department of Surgery, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Cureus
|July 3, 2026
Summary
Self-inflicted screwdriver cranial trauma is rare. This case highlights how serial imaging and surgery are crucial for diagnosing and managing these injuries, especially with imaging artifacts, leading to significant neurologic recovery.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Radiology
Background:
- Transcranial screwdriver injuries are uncommon low-velocity penetrating cranial traumas.
- These injuries often result from interpersonal violence but can be self-inflicted.
- Initial imaging may be limited by metallic artifact, obscuring injury severity.
