Self-inflicted Dry Wall Screws in the Sagittal Sinus.

Self-inflicted Dry Wall Screws in the Sagittal Sinus.

World Neurosurg. 2017 Nov 27;:

Authors: Guppy KH, Ochi C

Abstract
A 30-year-old right hand male with a history of schizophrenia presented with two self-inflicted drywall screws in the skull. The patient was sleepy but easily arousable with blood tests showing he had taken methamphetamines. Computed Tomography (CT) and Computed Tomography angiography (CTA) of the head showed the frontal screw abutted left of the superior sagittal sinus while the posterior screw went through the superior sagittal sinus with no extravasation of contrast at either site. Both screws were removed with exposure of the sagittal sinus using "U" shape craniectomies. There was no bleeding on the removal of the screws. It appears the posterior screw entered between the leaflets of the sagittal sinus dura. The patient in follow-up 1 month later had returned to work without any sequellae to his injuries.

PMID: 29191542 [PubMed - as supplied by publisher]

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