Citation

Englot DJ, Laurans MS, Abbed K, Bulsara KR. Neurosurg. Rev. 2010; 33(4): 501-504.

Copyright

(Copyright © 2010, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10143-010-0268-3

PMID

20532583

Abstract

Nail-gun injuries have become an increasingly prevalent source of penetrating intracranial trauma. Few cases of intracranial nail-gun injuries disturbing major cerebrovascular structures have been reported, and none entailing basilar artery involvement. We report here the case of a 51-year-old male with an intracranial nail-gun injury involving penetration of the distal basilar artery. Operative removal was accomplished under direct vision using a double concentric cranioorbital zygomatic osteotomy for a trans-Sylvian approach. We highlight the principles involved in removing foreign bodies penetrating critical neurovascular structures.

Language: en

Keywords

Humans; Male; Middle Aged; Tomography, X-Ray Computed; Suicide, Attempted; Depressive Disorder; Head Injuries, Penetrating; Foreign Bodies; Construction Materials; Neurosurgical Procedures; Basilar Artery; Cerebral Angiography; Cerebral Hemorrhage; Orbit; Blood Coagulation; Zygoma; Osteotomy