Citation

Pniel D, Withers TK. Surg. Neurol. Int. 2018; 9: e221.

Affiliation

Department of Neurosurgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia.

Copyright

(Copyright © 2018, Medknow Publishing)

DOI

10.4103/sni.sni_75_18

PMID

30533268

PMCID

PMC6238325

Abstract

BACKGROUND: Nail gun injuries, while uncommon, can present significant treatment challenges. Many are often caused by work-related accidents, they have also been seen in suicide attempts and assaults. CASE DESCRIPTION: A 53-year-old male was transferred from a peripheral hospital to a tertiary center after being found confused and with a left-sided weakness. Initial scans showed four nails penetrating the skull, with one additional nail in the pericardium. These all underwent surgical removal, and due to meticulous pre- and perioperative planning, the patient had a largely uneventful recovery.

CONCLUSION: The challenging nature of these injuries requires extensive workup prior to surgical decision-making in order to minimize potential complications.

Language: en

Keywords

Angiography; nail gun; penetrating head injury