Full-thickness scalp and skull defect with dura mater exposure due to dissociation of pain sensation and anankastic personality disorder: a case report

Case Reports Plast Surg Hand Surg. 2023 Nov 28;10(1):2285058. doi: 10.1080/23320885.2023.2285058. eCollection 2023.


Our case demonstrates a rare genesis of complex scalp defect with exposed dura mater in the occipital region due to self-mutilation. An early interdisciplinary approach is vital to prevent secondary complications and potentially fatal outcomes, particularly in psychiatric patients with reduced health awareness.

Keywords: Scalp defect; anankastic personality disorder; chronic self-mutilation; skull defect.

Publication types

  • Case Reports