Türk Nöroşirürji Dergisi 2014 , Vol 24 , Num 1
Importance of Scar Tissue Resection in a Case of Intracranial Sewing Needle Presenting with Epilepsy
Ethem GÖKSU1, Çağın OZANKAYA1, Elif İnanç GÜRER2, Mahmut AKYÜZ1
1Akdeniz Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Antalya, Türkiye
2Akdeniz Üniversitesi, Tıp Fakültesi, Patoloji Anabilim Dalı, Antalya, Türkiye
Intracranial foreign bodies such as sewing needles have been rarely reported. We present a case of intracranial domestic sewing needle in an 11–year-old male patient with seizure. Computed tomography (CT) scan showed a foreign body resembling a sewing needle with surrounding calcification and a hypodense area in the right frontal region. This reactive tissue was removed together with the needle via a right frontal craniotomy without any complication. Histopathologically, glial, osseous and cartilaginous tissues were observed with densely iron–stained areas. Postoperatively, the patient has been seizure–free for a year. Intracranial sewing needles can rarely be encountered symptomatically during childhood and the reasons are not always clear. Removing the needle with resection of the reactive tissue is recommended for control of the epilepsy. Anahtar Kelimeler : Child, Epilepsy, Intracranial foreign body, Sewing neddle