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Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient

The self-infliction of foreign bodies into the brain represents rare a clinical phenomenon that has been reported primarily in cases involving accidents and suicide attempts. However, various motivations for self-injurious behaviors as well as suicide attempts have been reported, especially in patie...

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Autores principales: Son, Seungnam, Kang, Dong-Ho, Kim, Byung-Hyo, Choi, Nack-Cheon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182395/
https://www.ncbi.nlm.nih.gov/pubmed/21994517
http://dx.doi.org/10.4306/pi.2011.8.3.272
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author Son, Seungnam
Kang, Dong-Ho
Kim, Byung-Hyo
Choi, Nack-Cheon
author_facet Son, Seungnam
Kang, Dong-Ho
Kim, Byung-Hyo
Choi, Nack-Cheon
author_sort Son, Seungnam
collection PubMed
description The self-infliction of foreign bodies into the brain represents rare a clinical phenomenon that has been reported primarily in cases involving accidents and suicide attempts. However, various motivations for self-injurious behaviors as well as suicide attempts have been reported, especially in patients with psychotic illnesses. A 47-year-old man with a history of schizophrenia presented to our hospital due to the presence of a nail on his plain skull X-ray. He diagnosed paranoid type of schizophrenia about 17 years earlier, and his psychiatric symptoms were well controlled by medication. Interestingly, he was not aware of the presence of the nail in his brain and showed no neurological deficits. In the course of detailed history taking, we discovered that the nail was driven into his brain during a hallucinatory experience that had occurred more than 10 years earlier. Because we believed that removing the nail from his brain would be more dangerous than maintaining the status quo, the nail was not removed. This is a very rare case of a self-inflicted injury involving inserting a nail into the brain under the influence of hallucinations. The absence of adverse effects or neurological symptoms/signs related to the presence of a foreign metallic body in the brain for over 10 years is exceptional.
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spelling pubmed-31823952011-10-12 Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient Son, Seungnam Kang, Dong-Ho Kim, Byung-Hyo Choi, Nack-Cheon Psychiatry Investig Case Report The self-infliction of foreign bodies into the brain represents rare a clinical phenomenon that has been reported primarily in cases involving accidents and suicide attempts. However, various motivations for self-injurious behaviors as well as suicide attempts have been reported, especially in patients with psychotic illnesses. A 47-year-old man with a history of schizophrenia presented to our hospital due to the presence of a nail on his plain skull X-ray. He diagnosed paranoid type of schizophrenia about 17 years earlier, and his psychiatric symptoms were well controlled by medication. Interestingly, he was not aware of the presence of the nail in his brain and showed no neurological deficits. In the course of detailed history taking, we discovered that the nail was driven into his brain during a hallucinatory experience that had occurred more than 10 years earlier. Because we believed that removing the nail from his brain would be more dangerous than maintaining the status quo, the nail was not removed. This is a very rare case of a self-inflicted injury involving inserting a nail into the brain under the influence of hallucinations. The absence of adverse effects or neurological symptoms/signs related to the presence of a foreign metallic body in the brain for over 10 years is exceptional. Korean Neuropsychiatric Association 2011-09 2011-07-19 /pmc/articles/PMC3182395/ /pubmed/21994517 http://dx.doi.org/10.4306/pi.2011.8.3.272 Text en Copyright © 2011 Korean Neuropsychiatric Association http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Son, Seungnam
Kang, Dong-Ho
Kim, Byung-Hyo
Choi, Nack-Cheon
Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title_full Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title_fullStr Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title_full_unstemmed Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title_short Incidentally Discovered a Self-Inflicted a Nail in the Brain of Schizophrenia Patient
title_sort incidentally discovered a self-inflicted a nail in the brain of schizophrenia patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182395/
https://www.ncbi.nlm.nih.gov/pubmed/21994517
http://dx.doi.org/10.4306/pi.2011.8.3.272
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