{"id":"d36291a2-095a-49bd-845f-8c27c29138d0","slug":"jaels-syndrome-removal-of-a-retained-intracranial-kitchen-knife-blade-a-case-report","title":"Jael’s syndrome: Removal of a retained intracranial kitchen knife blade – A case report","authors":["Malak El Marrakchi","Nahla Zian","Meryem Ait Benali","Farouk Hajhouji","Said Ait Benali"],"abstract":"Background: Jael’s syndrome is defined as an intentional injury caused by a knife in the skull or the face. It is a rare yet challenging situation in clinical practice. Initial triage is the key to optimal management. Case Description: We describe the case of a right-handed 30-year-old man presenting to the emergency for headaches 15 days after a stabbing attack into the skull using a kitchen knife. He was conscious with no neurological deficit or history of seizures. The wound had already healed. A cerebral computed tomography (CT) scan showed a retained kitchen knife blade. The stab wound extended through the temporal lobe and ended a few centimeters before the brainstem. The blade was removed under general anesthesia. Postoperative follow-up was satisfying without any neurological worsening. The control CT scan showed a remaining knife edge in the bone flap. It was decided to monitor the patient regularly, and he was discharged 3 days later. Conclusion: This case highlights the medicolegal importance of physical examination and radiological exploration in penetrating head injury.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d36291a2-095a-49bd-845f-8c27c29138d0/featured/hero-1781559054836.png","publishDate":"2024-11-22T00:00:00.000Z","doi":"10.25259/SNI_670_2024","categories":["Trauma","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/11/13246/SNI-15-427.pdf"}