Indian Journal of Neurotrauma 2017; 14(01): 035-038
DOI: 10.1055/s-0037-1602721
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Denied Suicide Attempt: Penetrating Cranial Cerebral Injury with a Nail Gun

Josef Michael Lang
1   Department of Neurosurgery, Hannover Medical School, Hannover, Germany
,
Joachim K. Krauss
1   Department of Neurosurgery, Hannover Medical School, Hannover, Germany
› Author Affiliations
Further Information

Publication History

11 July 2016

29 March 2017

Publication Date:
09 May 2017 (online)

Abstract

Penetrating craniocerebral injuries with a nail gun are uncommon. In this article, we describe a highly unusual delayed presentation of a 49-year-old man after an initially unnoticed penetrating head injury with an air-powered nail gun. The nail was successfully surgically removed, and the postoperative course was uneventful. Further evaluation revealed that the penetrating craniocerebral nail gun injury was a suicide attempt and not an accident. Possible reasons for the initial unrecognition of the injury and denial of the suicide attempt were discussed.

 
  • References

  • 1 Winder MJ, Monteith SJ, Lightfoot N, Mee E. Penetrating head injury from nailguns: a case series from New Zealand. J Clin Neurosci 2008; 15 (01) 18-25
  • 2 Woodall MN, Alleyne Jr CH. Nail-gun head trauma: a comprehensive review of the literature. J Trauma Acute Care Surg 2012; 73 (04) 993-996
  • 3 Buchalter GM, Johnson LP, Reichman MV, Jacobs J. Penetrating trauma to the head and neck from a nail gun: a unique mechanism of injury. Ear Nose Throat J 2002; 81 (11) 779-783
  • 4 Lee AD, Oh YS. Unusual delayed presentation of a nail gun injury through the skull base. Laryngoscope 2007; 117 (06) 977-980
  • 5 Centers for Disease Control and Prevention (CDC). Nail-gun injuries treated in emergency departments—United States, 2001–2005. MMWR Morb Mortal Wkly Rep 2007; 56 (14) 329-332