Randomized trial evaluates surgical management of self-inflicted brain injury in individuals with schizophrenia, suggesting optimal outcomes with careful imaging and intervention.
Key Points
To assess the diagnostic evaluation and surgical management techniques for self-inflicted trans-frontal sinus penetrating brain injury.
Conducted a multimodal diagnostic imaging approach including CT and DSA.
Performed a bifrontal craniotomy for removal of the penetrating blade and metallic tip.
Employed targeted antibiotics to manage postoperative infections.
Successful retrieval of the blade and a broken metallic tip from the intracranial compartment.
Identification of wound pathogens including Serratia odorifera and coagulase-negative Staphylococci.
Patient achieved favorable neurological recovery following aggressive medical management and surgery.