Self-Inflicted Orbital and Intracranial Injury With a Retained Foreign Body Associated With Psychotic Depression: Case Report and Review
Reports of intracranial self-multilation by psychotic individuals are associated with severe mental disorders, criminality, or both. We describe a psychotically depressed male who drove a ballpoint pen through his right medial canthus and into his intracranial compartment. The patient developed a cavernous sinus syndrome and a traumatic dissection of the cavernous portion of the carotid artery. The pen was removed intraoperatively. Postoperatively, the patient was placed on a course of broad-spectrum antibiotics, antidepressants, and antipsychotic medications, and he has received long-term psychiatric follow-up. The literature related to these unusual cases is reviewed, and relevant surgical, medical, and psychiatric aspects of treatment are discussed. Â© 1993.
Digital Object Identifier (DOI)
Greene, Karl A.; Dickman, Curtis A.; Smith, Kris A.; Kinder, Eugene J.; and Zabramski, Joseph M., "Self-Inflicted Orbital and Intracranial Injury With a Retained Foreign Body Associated With Psychotic Depression: Case Report and Review" (1993). Neurosurgery. 374.