Unique Presentation and Novel Surgical Approach to a Transcribriform Penetrating Head Injury Caused by a Nail Gun

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Jul 5

PMID 35784965

Authors

Benjamin K Hendricks

Joseph D DiDomenico

Michael T Lawton

Andrew S Little

Affiliations

Soon will be listed here.

Abstract

A penetrating head injury caused by a nail gun is an infrequent clinically diverse condition that varies in severity by the neurovascular structures involved. The authors present the case of a patient whose frontal lobe was pierced by a nail that entered via a transnasal transcribriform trajectory without causing vascular injury or intracranial hemorrhage; the man was unaware of the nail's presence and presented with headache five days after the incident. The nail was extracted using a bifrontal craniotomy for direct visualization and for defect repair of the skull base combined with endoscopic endonasal extraction of the nail.

Citing Articles

An uncommon cause of penetrating brain injury: two cases of nail gun injuries. Illustrative cases.

Giles T, Bowen E, Duran D, Smith A, Strickland A J Neurosurg Case Lessons. 2024; 8(25).

PMID: 39680880 PMC: 11665145. DOI: 10.3171/CASE24522.

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