Hendricks Benjamin K, DiDomenico Joseph D, Lawton Michael T, Little Andrew S
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.
Cureus. 2022 Jun 1;14(6):e25581. doi: 10.7759/cureus.25581. eCollection 2022 Jun.
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.
气钉枪导致的穿透性颅脑损伤是一种临床少见且表现多样的病症，其严重程度因所累及的神经血管结构而异。作者报告了一例患者，一枚钉子经鼻-筛板入路刺入其额叶，未造成血管损伤或颅内出血；该男子未察觉钉子的存在，在事件发生五天后后因头痛前来就诊。通过双额开颅术直接观察并修复颅底缺损，同时在内镜辅助下经鼻取出钉子。
