Indian Journal of Neurotrauma 2007; 04(01): 63-64
DOI: 10.1016/S0973-0508(07)80016-5
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Penetrating craniocerebral injury with nails: Case report

Amresh Bhaganagare
,
Trimurti Nadkarni
,
Atul Goel

Subject Editor:
Further Information

Publication History

Publication Date:
05 April 2017 (online)

Abstract

A 19 year-old-male presented with three nails being hammered into his head. The patient had no neurological deficits at the time of presentation. Computed tomography (CT) of the brain showed the nails to have penetrated both tables of the skull. All of these metallic foreign bodies were extracted surgically. One of these nails, noted in the midline, was bent at its shaft and lay in the epidural space. The other two nails lying parasagittally had penetrated into the brain parenchyma of the frontal lobes. There was no intraparenchymal hemorrhage noted in relation to the tracts of the nails. The patient had an uneventful postoperative recovery. The relevant literature related to this unusual case is reviewed.

 
  • References

  • 1 Aarabi B. History of the management of craniocerebral wounds. In: Aarabi B, Kaufman HH, Dagi TF, George ED, Levy ML. editors. Missile Wounds of the Head and Neck. 1 1999. American Association of Neurological Surgeons; Park Ridge, Illinois: 281-292
  • 2 Ljunggren B, Strömblad LG. The good old method of the nail. Surg Neurol 07 1977; 288-292
  • 3 Luotonen J. Intracranial penetration of a nail from nailing gun through cheek and infratemporal Fossa. J Laryngol Otol 100 1986; 247-250
  • 4 Ohaegbulam SC, Ojukwu JO. Unusual craniocerebral injuries from nailing. Surg Neurol 14 1980; 393-395
  • 5 Olumide AA, Adeloye A. Unusual craniocerebral injuries: report of two cases in Nigerians. Surg Neurol 06 1976; 306-308
  • 6 Reeves DL. Penetrating cranio-cerebral injuries: report of two unusual cases. J Neurosurg 23 1965; 204-205
  • 7 Shenoy SN, Raja A. Unusual self-inflicted penetrating craniocerebral injury by a nail. Neurol India 51 2003; 411-413
  • 8 Kim HS, Ko K. Penetrating trauma of the posterior fossa resulting in vernet's syndrome and internuclear ophthalmoplegia. Journal of Trauma-Injury Infection & Critical Care 40 1996; 647-649
  • 9 Tiwari SM, Singh RG, Dharker SR, Chaurasiya BD. Unusual cranio cerebral injury by a key. Surg Neurol 09 1978; 267
  • 10 Greene KA, Dickman CA, Smith KA, Kinder EJ, Zabramski JM. Self-inflicted orbital and intracranial injury with a retained foreign body associated with psychotic depression: case report and review. Surg Neurol 40 1993; 499-503
  • 11 Andrade GC, Silveira RL, Arantes Jr AA, Fonesca Filho GA, Pinheiro Jr N. Penetrating brain injury due to a large asbestos fragment treated by decompressive craniectomy: case report. Arq Neuropsiquiatr 62 2004; 1104-1107
  • 12 Stables G, Quigley G, Basu S, Pillay R. An unusual case of a compound depressed skull fracture after an assault with a stiletto. Emerg Med J 22 2005; 303-304
  • 13 Rao BD, Reddy DR. An unusual intracranial foreign body. Neurol India 19 1971; 95