内针作为外体:两例病例报告
Ozan HAş MOğLU1, Buruc Erkan, Bekir TUğCU
1Başakşehir Çam ve Sakura City Hospital.
Turkish neurosurgery
|September 4, 2025
概括
内针往往是儿童虐待所造成的, 这项研究强调了对这些罕见异物体的无症状成年人的保守治疗.
科学领域:
- 神经学
- 儿童创伤
- 法医医学
背景情况:
- 透性脑损伤通常来自创伤, 但罕见的案例涉及儿童虐待的内外体.
- 通过 sutures 插入针头进入大脑之前 fontanelle 关闭是一种模糊的试图杀婴的形式.
研究的目的:
- 分析成年人出现内异物,特别是针的病例.
- 讨论这些罕见伤害的诊断和管理挑战.
主要方法:
- 两名成年患者的回顾性分析.
- 对放射性发现和临床表现的审查.
- 对类似案例和管理策略的文献审查.
主要成果:
- 一个36岁的头痛妇女脑中刺入了一针针.
- 第二个案例:一个62岁的患者脑部有三个针.
- 由于表现无症状,这两名患者都接受了保守的治疗.
结论:
- 内针外体可以在成年时偶然检测到, 往往来自未报告的童年虐待.
- 对于无症状患者来说,尽管有道德考虑,但通常会选择保守的治疗方法.
- 幸存者的晚期并发症强调了识别这种罕见形式的伤害的重要性.
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