Jael's syndrome: Removal of a retained intracranial kitchen knife blade - A case report.

Surgical neurology international Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI:10.25259/SNI_670_2024
Malak El Marrakchi, Nahla Zian, Meryem Ait Benali, Farouk Hajhouji, Said Ait Benali
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Abstract

Background: Jael's syndrome is defined as an intentional injury caused by a knife in the skull or the face. It is a rare yet challenging situation in clinical practice. Initial triage is the key to optimal management.

Case description: We describe the case of a right-handed 30-year-old man presenting to the emergency for headaches 15 days after a stabbing attack into the skull using a kitchen knife. He was conscious with no neurological deficit or history of seizures. The wound had already healed. A cerebral computed tomography (CT) scan showed a retained kitchen knife blade. The stab wound extended through the temporal lobe and ended a few centimeters before the brainstem. The blade was removed under general anesthesia. Postoperative follow-up was satisfying without any neurological worsening. The control CT scan showed a remaining knife edge in the bone flap. It was decided to monitor the patient regularly, and he was discharged 3 days later.

Conclusion: This case highlights the medicolegal importance of physical examination and radiological exploration in penetrating head injury.

杰尔氏综合征:切除颅内残留菜刀- 1例报告。
背景:Jael综合征被定义为由刀在头骨或面部造成的故意伤害。在临床实践中,这是一种罕见但具有挑战性的情况。初步分类是优化管理的关键。病例描述:我们描述的情况下,右撇子30岁的男子提出头痛的紧急情况后,用菜刀刺入头骨15天。他神志清醒,没有神经功能障碍,也没有癫痫史。伤口已经愈合了。脑部电脑断层扫描显示残留的菜刀刀片。刺伤穿过颞叶,在脑干前几厘米处结束。刀片是在全身麻醉下取出的。术后随访满意,无神经系统恶化。对照CT扫描显示骨瓣有残留的刀口。决定对患者进行定期监测,3天后出院。结论:本病例强调了身体检查和放射检查在穿透性颅脑损伤中的医学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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