Wu Ruhong, Ye Yun, Liu Chunbo, Yang Changchun, Qin Huaping
Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, China.
Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou City, China.
World Neurosurg. 2018 Apr;112:143-147. doi: 10.1016/j.wneu.2018.01.127. Epub 2018 Jan 31.
Penetrating brain injury (PBI) caused by a nail gun is an extremely rare neurosurgical emergency that poses a challenge for neurosurgeons because of its rarity and complexity.
Here we present 3 cases of PBI caused by a nail gun. In the first case, the nail entered through the right parietal bone and lodged in the right parietal lobe and basal ganglia. In the second case, the nail entered through the right occipital bone and lodged in the right occipital lobe. In the third case, the nail entered through the right parietal bone and lodged in the right frontal and parietal lobes. All patients underwent surgical removal of the nail. The first patient presented with reduced left-side strength, whereas the second and third patients were neurologically intact on presentation.
PBI caused by a nail gun can present with differing clinical manifestations, and most cases require immediate surgery. A rational management strategy should provide a good postoperative prognosis with minimal neurologic deficits in these patients.
钉枪所致穿透性脑损伤（PBI）是一种极为罕见的神经外科急症，因其罕见性和复杂性，给神经外科医生带来了挑战。
在此，我们呈现3例钉枪所致PBI病例。第一例中，钉子经右侧顶骨进入，嵌顿于右侧顶叶和基底节区。第二例中，钉子经右侧枕骨进入，嵌顿于右侧枕叶。第三例中，钉子经右侧顶骨进入，嵌顿于右侧额叶和顶叶。所有患者均接受了钉子取出手术。第一例患者出现左侧肌力减退，而第二例和第三例患者在就诊时神经系统检查正常。
钉枪所致PBI可表现出不同的临床表现，大多数病例需要立即手术。合理的治疗策略应使这些患者术后获得良好预后，神经功能缺损最小。
