Delayed headache 11 years after a pub fight: an unusual spontaneous intracerebral hemorrhage succeeding a temporal glass shard injury. Illustrative case

• DOI: 10.3171/case23364
• Publication Date: 2023-09-05T01:11:16Z
• Authors: Attill Saemann; Victor Schulze-Za...; Raphael Guzman; Gregor Hutter
• Keywords: Case Lesson; 3. Good health

Intracerebral hemorrhage (ICH) in young patients is rare and often associated with vascular malformations, drug abuse, or genetic conditions. Early diagnosis treatment are critical because of the potential risk rebleeding long-term consequences. This case report presents an unusual correlation between a prior traumatic incident manifestation atypical ICH 11 years later.A 37-year-old male presented retroorbital headaches, confusion, seizures. Imaging revealed left middle temporal gyrus, accompanied by retained glass shards adjacent muscle bone. Angiography ruled out malformations but suggested eroded cerebral artery branch underneath osseous defect potentially caused bone-transgressing shard. Surgical exploration confirmed vessel as source was followed uneventful hematoma removal postoperative course.This underscores significance recognizing delayed complications resulting from foreign bodies (FBs). Complete extracranial FBs imperative to prevent further harm. Clinicians should maintain awareness consequences FBs, utilizing comprehensive diagnostics detect localize FBs. Timely intervention such resection planned follow-up essential for effective management mitigation adverse outcomes.