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Needle in the brain

Needle in the brain Department of Neurology,County Hospital,Szekszard, Szekszard,BeriBalog Adam str. 5-7,7700 Hungary, and Department of Neurology, Szent-Gyorgyi University Medical School Szeged, Semmelweis str. 6725 Hungary Correspondence to: L. Vecsei at address above TO THE EDITOR We observed a 42-year-old male patient with progressing weakness and fasciculation in the muscles of the extremities. He had muscular hypotrophy of the shoulder and pelvic girdle, severe distal hypotrophy of the upper limbs, fasciculation in muscles of the shoulder girdle, arms and thighs, distal paresis of the upper limbs and increased deep reflexes without pyramidal signs. The EMG-ENG did not demonstrate nuclear lesion, but showed signs of polyneuropathy. A sural nerve biopsy was atypical, a biopsy taken from the anterior tibia1 muscle showed severe neurogenic alteration, suggesting chronic polyneuropathy. The cranial X-ray examination revealed a sewing needle in the brain. The needle did not cause inflammation or other neurological symptoms, its intracerebral presence was “silent”. The patient did not remember earlier trauma that could explain the localization of the needle. Considering the time of skull-ossification, it most probably got intracranially during infancy. The neurological disease he was observed for could not have been caused by this intracranial object. The X-ray photograph shows the needle in the brain (Fig. 1). FIG. 1 . Needle in the brain, (a) sagittal, (b) frontal section European Journal of Neurology . VOl 3 1996 Rapid Science Publishers http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Neurology Wiley

Needle in the brain

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Publisher
Wiley
Copyright
1996 Lippincott Williams & Wilkins
ISSN
1351-5101
eISSN
1468-1331
DOI
10.1111/j.1468-1331.1996.tb00213.x
Publisher site
See Article on Publisher Site

Abstract

Department of Neurology,County Hospital,Szekszard, Szekszard,BeriBalog Adam str. 5-7,7700 Hungary, and Department of Neurology, Szent-Gyorgyi University Medical School Szeged, Semmelweis str. 6725 Hungary Correspondence to: L. Vecsei at address above TO THE EDITOR We observed a 42-year-old male patient with progressing weakness and fasciculation in the muscles of the extremities. He had muscular hypotrophy of the shoulder and pelvic girdle, severe distal hypotrophy of the upper limbs, fasciculation in muscles of the shoulder girdle, arms and thighs, distal paresis of the upper limbs and increased deep reflexes without pyramidal signs. The EMG-ENG did not demonstrate nuclear lesion, but showed signs of polyneuropathy. A sural nerve biopsy was atypical, a biopsy taken from the anterior tibia1 muscle showed severe neurogenic alteration, suggesting chronic polyneuropathy. The cranial X-ray examination revealed a sewing needle in the brain. The needle did not cause inflammation or other neurological symptoms, its intracerebral presence was “silent”. The patient did not remember earlier trauma that could explain the localization of the needle. Considering the time of skull-ossification, it most probably got intracranially during infancy. The neurological disease he was observed for could not have been caused by this intracranial object. The X-ray photograph shows the needle in the brain (Fig. 1). FIG. 1 . Needle in the brain, (a) sagittal, (b) frontal section European Journal of Neurology . VOl 3 1996 Rapid Science Publishers

Journal

European Journal of Neurology – Wiley

Published: Mar 1, 1996

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