Document Detail

Penetrating brain injury caused by nail guns: two case reports and a review of the literature.
MedLine Citation:
PMID:  22823496     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To the best of the authors' knowledge, there are few case reports of penetrating brain injuries (PBI) caused by nail guns and these have usually involved incomplete penetration of the skull. Complete penetration of a nail into the intracranial cavity is extremely rare.
CASE STUDY: Here, two such cases are presented. In the first, the nail entered through the right temporal bone, lodged in the right temporal lobe and was removed via craniotomy with intra-operative ultrasound guidance. In the second, the nail destroyed the left parietal bone, damaged the left internal capsule and lodged in the left temporal lobe near the left petrous apex and the brain stem. According to the latest literature retrieval, this is the first reported case of nail-gun injury to the internal capsule. The position of the nail precluded removal without further neurologic damage. Treatment strategies designed to optimize outcome, with or without surgery, and possible complications are discussed in this report.
Wei Luo; Hai Liu; Shuyu Hao; Ying Zhang; Jingsheng Li; Baiyun Liu
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-07-23
Journal Detail:
Title:  Brain injury     Volume:  26     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2012  
Date Detail:
Created Date:  2012-11-20     Completed Date:  2013-04-01     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1756-62     Citation Subset:  IM    
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MeSH Terms
Accidents, Occupational
Cerebral Angiography
Construction Materials / adverse effects*
Craniotomy / methods*
Foreign Bodies
Head Injuries, Penetrating / etiology*,  radiography,  surgery*
Temporal Bone / injuries,  radiography,  surgery*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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