Wipe Off the K-Y BEFORE Tooting the Line

Transnasal penetrating brain injury with a ball-pen.

Sharif S, Roberts G, Phillips J.

National Centre for Neurology & Neurosurgery, Beaumont Hospital, Dublin,
Ireland. s.sharif@btinternet.com

We report a case of a 44-year-old man with 1 day’s history of epistaxis.
He was an in-patient in a psychiatric ward with a history of depression.
He had CSF rhinorrhoea, was confused and had no focal neurological deficits.
A full length pencil was removed from his left nostril in the emergency
department. CT of the brain revealed a tract, but also suggested another
foreign body in the inter-hemispheric space. He had a para-sagittal craniotomy
and a 14 cm ball-point pen was found lying between the two cerebral hemispheres.
This was removed and the patient made an uneventful recovery. This is the
first report of an attempted suicide by transnasal insertion of a ballpoint
pen intracranially.

PMID: 10889896 [PubMed – indexed for MEDLINE]

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One Response to Wipe Off the K-Y BEFORE Tooting the Line

  1. Britt says:

    Well, I’ve created a Harvard Law weblog using the post.harvard email I reactivated tonight. Now I want to set up the aggregator and start bringing in various (hopefully interesting and bizarre) feeds. Any thoughts on the best way to start customizing? The blog is ‘dbear’ and has absolutely nothing on it yet. Great to see you yesterday!

    db

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