Extended Extra- and Intracerebral Ulceration and Brain Abscess Following Self-mutilation in an Auto-aggressive 51-year-old Woman: Case Report

Abstract

In neurosurgical practice, the operative treatment of deep or infected wounds caused by auto-mutilation is quite rare, especially in the neurocranium. We present an extraordinary case of an auto-aggressive 51-year-old female suffering from a deeply ulcerated wound on the right frontal skull with consecutive brain abscess, caused manually with needles and forceps over a period of 8 months. The clinical course is presented together with a description of the conservative and surgical regimen and is illustrated with photographs and CT and MRI images.

Key words

self-mutilation - brain abscess - autoaggressive behavior

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Correspondence