scholarly journals Multiple Nail Gun Penetrating Head Injury: A Case Report

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Sim SK ◽  
Theophilus SC ◽  
Noor Azman AR

Intracranial nail gun injury is a rare subset of penetrating head injury. Here we report a case of intracranial nail gun injury in a Vietnamese patient who attempted suicide with no neurological deficit. Three nails were launched. Because the nail head acted as a brake, the launched nail could make a hole into the skull but could not entirely pass it. A rational management strategy should permit these patients to be discharged with no additional injury. Some medical and surgical management in penetrating head injury are discussed. The use of antibiotics and antiepileptic drugs and the retraction of the nail aided by the performance of a craniotomy surrounding the entry point are recommended.

2018 ◽  
Vol 26 (4) ◽  
pp. 302-6
Author(s):  
Steven Tandean ◽  
Marsal Risfandi ◽  
Iskandar Japardi

Gunshot is a rare subset of penetrating head injury, and generally the victim dies before arriving at the hospital. This paper reported a case of an intracranial gunshot injury in a 12 year-old boy that was shot by his friend, whose primary intention was to play around, using a revolver. A missile projectile penetrated from mid frontal and came out from right occipital. Vital signs were stable with GCS 8 from physical examination. A rational management strategy should permit a good outcome. The only complications that occured were hydrocephalus, yet it was managed by VP–shunt. Skull defect was closed using titanium mesh. A two-year follow-up showed a good result. The patient was able to do daily activity and back to school again.


2020 ◽  
Vol 23 (2) ◽  
pp. 84-88
Author(s):  
Yi-Kai Yuan ◽  
Tong Sun ◽  
Yi-Cheng Zhou ◽  
Xue-Pei Li ◽  
Hang Yu ◽  
...  

2017 ◽  
Vol 14 (01) ◽  
pp. 035-038
Author(s):  
Joachim Krauss ◽  
Josef Lang

AbstractPenetrating 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.


2015 ◽  
Vol 12 (01) ◽  
pp. 080-083
Author(s):  
Uday Raswan ◽  
Altaf Kirmani ◽  
Neeraj Choudhary ◽  
Arif Sarmast ◽  
Abdul Bhat

1994 ◽  
Vol 42 (6) ◽  
pp. 494-497 ◽  
Author(s):  
Oisin R. O'Neill ◽  
Grant Gilliland ◽  
Johnny B. Delashaw ◽  
Thomas J. Purtzer

2017 ◽  
Vol 26 (8) ◽  
pp. e143-e149 ◽  
Author(s):  
Jonathan Awori ◽  
D. Andrew Wilkinson ◽  
Joseph J. Gemmete ◽  
B. Gregory Thompson ◽  
Neeraj Chaudhary ◽  
...  

2005 ◽  
Vol 62 (9) ◽  
pp. 679-682
Author(s):  
Danilo Radulovic ◽  
Vesna Janosevic ◽  
Miodrag Rakic ◽  
Branko Djurovic ◽  
Eugen Slavik ◽  
...  

Background. Traumatic delayed epidural hematoma (DEH) can be defined as insignificant or not seen on the initial CT scan performed after a trauma but seen on the subsequent CT scan as a ?massive? epidural bleeding. Case report. We presented two cases of traumatic DEH after mild head injury. Both patients were conscious and without neurological deficit on the admission. Initial CT scan did not reveal intracranial hematoma. Repeated CT scan, that was performed after neurological deterioration, revealed epidural hematoma in both cases. The patients were operated with a favorable surgical outcome. Conclusion. Traumatic DEH could occur in the patients with head injuries who were conscious on the admission with a normal initial CT scan finding. Early detection of DEH and an urgent surgical evacuation were essential for a good outcome.


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