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Brief Report

Self-Inflicted Hammer Blows to the Cranial Vault: An Interdisciplinary Challenge

Seong Woong Kim, MD; Michael Putzke, MD; Eberhard Uhl, MD, PhD; and Kartik G. Krishnan, MD, PhD

Published: June 30, 2016

Article Abstract

Depression is predicted to be the most common cause of disability in the coming decade. Self-inflicted hammer blow to the cranium is a rare phenomenon seen in patients with a history of attempted suicide. The resulting comminuted depressed skull fracture of the midline vertex is life threatening. Rapid interdisciplinary communication and intervention are essential to reduce morbidity and mortality. We present a case of self-inflicted hammer blows to the head, review the relevant literature on this topic, and discuss neurosurgical and psychiatric implications.

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