{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:57:33Z","timestamp":1770353853613,"version":"3.49.0"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,4]]},"abstract":"\n BACKGROUND<\/jats:title>\n Intracerebral hemorrhage (ICH) in young patients is rare and often associated with vascular malformations, drug abuse, or genetic conditions. Early diagnosis and treatment are critical because of the potential risk of rebleeding and long-term consequences. This case report presents an unusual correlation between a prior traumatic incident and the manifestation of an atypical ICH 11 years later.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 37-year-old male presented with retroorbital headaches, confusion, and seizures. Imaging revealed an atypical ICH in the left middle temporal gyrus, accompanied by retained glass shards in the adjacent temporal muscle and bone. Angiography ruled out vascular malformations but suggested an eroded middle cerebral artery branch underneath an osseous defect potentially caused by a bone-transgressing glass shard. Surgical exploration confirmed the vessel as the source of the ICH and was followed by an uneventful hematoma removal and postoperative course.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n This case underscores the significance of recognizing delayed complications resulting from retained foreign bodies (FBs). Complete removal of extracranial FBs is imperative to prevent further harm. Clinicians should maintain an awareness of the potential long-term consequences and complications associated with FBs, utilizing comprehensive diagnostics to detect and localize FBs. Timely intervention such as resection or planned follow-up is essential for effective management and mitigation of adverse outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case23364","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T21:11:16Z","timestamp":1693861876000},"source":"Crossref","is-referenced-by-count":0,"title":["Delayed headache 11 years after a pub fight: an unusual spontaneous intracerebral hemorrhage succeeding a temporal glass shard injury. Illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Attill","family":"Saemann","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Schulze-Zachau","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology Department, University Hospital of Basel, Basel, Switzerland; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Guzman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, and"},{"name":"Faculty of Medicine, University of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregor","family":"Hutter","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, and"},{"name":"Faculty of Medicine, University of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Stroke","first-page":"3","article-title":"Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update","volume":"19","author":"An SJ","year":"2017","unstructured":"An SJ, Kim TJ, Yoon BW. Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update. J Stroke. 2017;19(1):3\u201310."},{"issue":"4","key":"b2","series-title":"Nat Rev Neurol","first-page":"237","article-title":"Nontraumatic intracerebral haemorrhage in young adults","volume":"14","author":"Tatlisumak T","year":"2018","unstructured":"Tatlisumak T, Cucchiara B, Kuroda S, Kasner SE, Putaala J. Nontraumatic intracerebral haemorrhage in young adults. Nat Rev Neurol. 2018;14(4):237\u2013250."},{"issue":"3","key":"b3","series-title":"J Cerebrovasc Endovasc Neurosurg","first-page":"214","article-title":"The outcomes of spontaneous intracerebral hemorrhage in young adults: a clinical study","volume":"15","author":"Go GO","year":"2013","unstructured":"Go GO, Park H, Lee CH, Hwang SH, Han JW, Park IS. The outcomes of spontaneous intracerebral hemorrhage in young adults: a clinical study. J Cerebrovasc Endovasc Neurosurg. 2013;15(3):214\u2013220."},{"issue":"1","key":"b4","series-title":"Int J Stroke","first-page":"102","article-title":"Prevalence and characterization of cerebral small vessel disease in young adults with intracerebral hemorrhage","volume":"18","author":"Periole C","year":"2023","unstructured":"Periole C, Blanc C, Calvi\u00e8re L, Prevalence and characterization of cerebral small vessel disease in young adults with intracerebral hemorrhage. Int J Stroke. 2023;18(1):102\u2013108."},{"issue":"1","key":"b5","series-title":"Ann Plast Surg","first-page":"92","article-title":"Vascular complications of a foreign body in the hand of an asymptomatic patient","volume":"34","author":"Wendt JR","year":"1995","unstructured":"Wendt JR, Ackley SM. Vascular complications of a foreign body in the hand of an asymptomatic patient. Ann Plast Surg. 1995;34(1):92\u201394."},{"issue":"4","key":"b6","series-title":"Emerg Med Clin North Am","first-page":"767","article-title":"Detection and management of foreign bodies in soft tissue","volume":"10","author":"Lammers RL","year":"1992","unstructured":"Lammers RL, Magill T. Detection and management of foreign bodies in soft tissue. Emerg Med Clin North Am. 1992;10(4):767\u2013781."},{"issue":"7","key":"b7","series-title":"Pediatr Emerg Care","first-page":"468","article-title":"Glass foreign body in the spinal canal of a child: case report and review of the literature","volume":"20","author":"Opel DJ","year":"2004","unstructured":"Opel DJ, Lundin DA, Stevenson KL, Klein EJ. Glass foreign body in the spinal canal of a child: case report and review of the literature. Pediatr Emerg Care. 2004;20(7):468\u2013472."},{"issue":"6","key":"b8","series-title":"Neurosurgery","first-page":"1291","article-title":"Unusual foreign body causing quadriparesis: case report","volume":"40","author":"Tomaras CR","year":"1997","unstructured":"Tomaras CR, Grundmeyer RW, Chow TS, Trask TW. Unusual foreign body causing quadriparesis: case report. Neurosurgery. 1997;40(6):1291\u20131293, discussion 1293\u20131294."},{"issue":"1","key":"b9","series-title":"Hand (N Y)","first-page":"77","article-title":"Sequelae of foreign bodies in the wrist and hand","volume":"8","author":"Potini VC","year":"2013","unstructured":"Potini VC, Francisco R, Shamian B, Tan V. Sequelae of foreign bodies in the wrist and hand. Hand (N Y). 2013;8(1):77\u201381."},{"issue":"7","key":"b10","series-title":"Acad Emerg Med","first-page":"777","article-title":"Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis","volume":"22","author":"Davis J","year":"2015","unstructured":"Davis J, Czerniski B, Au A, Adhikari S, Farrell I, Fields JM. Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis. Acad Emerg Med. 2015;22(7):777\u2013787."},{"issue":"1","key":"b11","series-title":"Am J Surg","first-page":"63","article-title":"Diagnosis and treatment of retained foreign bodies in the hand","volume":"144","author":"Anderson MA","year":"1982","unstructured":"Anderson MA, Newmeyer WL 3rd, Kilgore ES Jr. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg. 1982;144(1):63\u201367."},{"issue":"7","key":"b12","series-title":"Tissue Eng","first-page":"1955","article-title":"Cellular and molecular dynamics in the foreign body reaction","volume":"12","author":"Luttikhuizen DT","year":"2006","unstructured":"Luttikhuizen DT, Harmsen MC, Van Luyn MJ. Cellular and molecular dynamics in the foreign body reaction. Tissue Eng. 2006;12(7):1955\u20131970."},{"issue":"5","key":"b13","series-title":"Eur Radiol","first-page":"1273","article-title":"Ultrasound-guided removal of foreign bodies: personal experience","volume":"19","author":"Callegari L","year":"2009","unstructured":"Callegari L, Leonardi A, Bini A, Ultrasound-guided removal of foreign bodies: personal experience. Eur Radiol. 2009;19(5):1273\u20131279."},{"issue":"7","key":"b14","series-title":"Radiographics","first-page":"1965","article-title":"Multimodality imaging of foreign bodies: new insights into old challenges","volume":"40","author":"Carneiro BC","year":"2020","unstructured":"Carneiro BC, Cruz IAN, Chemin RN, Multimodality imaging of foreign bodies: new insights into old challenges. Radiographics. 2020;40(7):1965\u20131986."},{"issue":"11","key":"b15","series-title":"Ann Emerg Med","first-page":"1360","article-title":"Foreign body retention in glass-caused wounds","volume":"21","author":"Montano JB","year":"1992","unstructured":"Montano JB, Steele MT, Watson WA. Foreign body retention in glass-caused wounds. Ann Emerg Med. 1992;21(11):1360\u20131363."},{"issue":"1","key":"b1","series-title":"J Stroke","first-page":"3","article-title":"Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update","volume":"19","author":"An SJ","year":"2017","unstructured":"An SJ, Kim TJ, Yoon BW. Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update. J Stroke. 2017;19(1):3\u201310."},{"issue":"4","key":"b2","series-title":"Nat Rev Neurol","first-page":"237","article-title":"Nontraumatic intracerebral haemorrhage in young adults","volume":"14","author":"Tatlisumak T","year":"2018","unstructured":"Tatlisumak T, Cucchiara B, Kuroda S, Kasner SE, Putaala J. Nontraumatic intracerebral haemorrhage in young adults. Nat Rev Neurol. 2018;14(4):237\u2013250."},{"issue":"3","key":"b3","series-title":"J Cerebrovasc Endovasc Neurosurg","first-page":"214","article-title":"The outcomes of spontaneous intracerebral hemorrhage in young adults: a clinical study","volume":"15","author":"Go GO","year":"2013","unstructured":"Go GO, Park H, Lee CH, Hwang SH, Han JW, Park IS. The outcomes of spontaneous intracerebral hemorrhage in young adults: a clinical study. J Cerebrovasc Endovasc Neurosurg. 2013;15(3):214\u2013220."},{"issue":"1","key":"b4","series-title":"Int J Stroke","first-page":"102","article-title":"Prevalence and characterization of cerebral small vessel disease in young adults with intracerebral hemorrhage","volume":"18","author":"Periole C","year":"2023","unstructured":"Periole C, Blanc C, Calvi\u00e8re L, Prevalence and characterization of cerebral small vessel disease in young adults with intracerebral hemorrhage. Int J Stroke. 2023;18(1):102\u2013108."},{"issue":"1","key":"b5","series-title":"Ann Plast Surg","first-page":"92","article-title":"Vascular complications of a foreign body in the hand of an asymptomatic patient","volume":"34","author":"Wendt JR","year":"1995","unstructured":"Wendt JR, Ackley SM. Vascular complications of a foreign body in the hand of an asymptomatic patient. Ann Plast Surg. 1995;34(1):92\u201394."},{"issue":"4","key":"b6","series-title":"Emerg Med Clin North Am","first-page":"767","article-title":"Detection and management of foreign bodies in soft tissue","volume":"10","author":"Lammers RL","year":"1992","unstructured":"Lammers RL, Magill T. Detection and management of foreign bodies in soft tissue. Emerg Med Clin North Am. 1992;10(4):767\u2013781."},{"issue":"7","key":"b7","series-title":"Pediatr Emerg Care","first-page":"468","article-title":"Glass foreign body in the spinal canal of a child: case report and review of the literature","volume":"20","author":"Opel DJ","year":"2004","unstructured":"Opel DJ, Lundin DA, Stevenson KL, Klein EJ. Glass foreign body in the spinal canal of a child: case report and review of the literature. Pediatr Emerg Care. 2004;20(7):468\u2013472."},{"issue":"6","key":"b8","series-title":"Neurosurgery","first-page":"1291","article-title":"Unusual foreign body causing quadriparesis: case report","volume":"40","author":"Tomaras CR","year":"1997","unstructured":"Tomaras CR, Grundmeyer RW, Chow TS, Trask TW. Unusual foreign body causing quadriparesis: case report. Neurosurgery. 1997;40(6):1291\u20131293, discussion 1293\u20131294."},{"issue":"1","key":"b9","series-title":"Hand (N Y)","first-page":"77","article-title":"Sequelae of foreign bodies in the wrist and hand","volume":"8","author":"Potini VC","year":"2013","unstructured":"Potini VC, Francisco R, Shamian B, Tan V. Sequelae of foreign bodies in the wrist and hand. Hand (N Y). 2013;8(1):77\u201381."},{"issue":"7","key":"b10","series-title":"Acad Emerg Med","first-page":"777","article-title":"Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis","volume":"22","author":"Davis J","year":"2015","unstructured":"Davis J, Czerniski B, Au A, Adhikari S, Farrell I, Fields JM. Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis. Acad Emerg Med. 2015;22(7):777\u2013787."},{"issue":"1","key":"b11","series-title":"Am J Surg","first-page":"63","article-title":"Diagnosis and treatment of retained foreign bodies in the hand","volume":"144","author":"Anderson MA","year":"1982","unstructured":"Anderson MA, Newmeyer WL 3rd, Kilgore ES Jr. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg. 1982;144(1):63\u201367."},{"issue":"7","key":"b12","series-title":"Tissue Eng","first-page":"1955","article-title":"Cellular and molecular dynamics in the foreign body reaction","volume":"12","author":"Luttikhuizen DT","year":"2006","unstructured":"Luttikhuizen DT, Harmsen MC, Van Luyn MJ. Cellular and molecular dynamics in the foreign body reaction. Tissue Eng. 2006;12(7):1955\u20131970."},{"issue":"5","key":"b13","series-title":"Eur Radiol","first-page":"1273","article-title":"Ultrasound-guided removal of foreign bodies: personal experience","volume":"19","author":"Callegari L","year":"2009","unstructured":"Callegari L, Leonardi A, Bini A, Ultrasound-guided removal of foreign bodies: personal experience. Eur Radiol. 2009;19(5):1273\u20131279."},{"issue":"7","key":"b14","series-title":"Radiographics","first-page":"1965","article-title":"Multimodality imaging of foreign bodies: new insights into old challenges","volume":"40","author":"Carneiro BC","year":"2020","unstructured":"Carneiro BC, Cruz IAN, Chemin RN, Multimodality imaging of foreign bodies: new insights into old challenges. Radiographics. 2020;40(7):1965\u20131986."},{"issue":"11","key":"b15","series-title":"Ann Emerg Med","first-page":"1360","article-title":"Foreign body retention in glass-caused wounds","volume":"21","author":"Montano JB","year":"1992","unstructured":"Montano JB, Steele MT, Watson WA. Foreign body retention in glass-caused wounds. Ann Emerg Med. 1992;21(11):1360\u20131363."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/6\/10\/article-CASE23364.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/6\/10\/article-CASE23364.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/6\/10\/article-CASE23364.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:34:06Z","timestamp":1770302046000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/6\/10\/article-CASE23364.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":30,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.3171\/case23364","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,4]]}}}