A 61 year old man with Intracranial Sewing Needle
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A 61-year-old man admitted our neurology clinic with slight dizzy for two days. The patient has no history of a headache, seizure, loss of consciousness or vomiting and his neurologic examination was unremarkable. A brain computed tomography (CT) scan surprisingly revealed a hyper-density metal object near the cerebral falx. Subsequent plain X-ray of the skull revealed one sharp intracranial sewing needle, nearly 5 cm in length, situated under the sagittal suture. There was no record or sign of previous trauma or any surgical procedures on the scalp, skull or brain. The patient and his relatives stated that they did not know how this needle had been introduced. The position of the foreign body, however, suggested that it was probably inserted through the anterior fontanelle when the patient was an infant. No surgical procedure was applied for this patient because he had no clinical symptoms.

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