Zima Laura A, Srinivasan Subhiksha, Budde Brad, Kitagawa Ryan
Department of Neurosurgery, UT Houston, Houston, Texas, United States.
UT Health Houston, McGovern Medical School, UT Houston, Houston, Texas, United States.
Surg Neurol Int. 2022 Aug 26;13:377. doi: 10.25259/SNI_512_2022. eCollection 2022.
Self-inflicted nail gun injuries are a rare phenomenon that can result in traumatic damage. The velocity of the nail is generally fast enough to penetrate the skull. However, the extent of damage depends on the exact angle and structures of the brain encountered by the nails.
A 55-year-old male presented with 32 nails in the head and was found down. Initially, the patient presented with localization but had to be intubated soon after due to declining condition. This report describes the operative technique for safe removal of all nails, separated into six categories based on location and structures of the brain encountered. A review of literature revealed potential complications such as hemorrhage and infections and how to protect against these undesired effects.
Self-inflicted nail gun head injuries are an uncommon form of traumatic head injury. Some important tools that helped prevent our patient from developing major complications included stereotactic navigation, antibiotic prophylaxis, and angiography to carefully monitor for vascular injuries.
自伤性钉枪损伤是一种罕见现象，可导致创伤性损害。钉子的速度通常足以穿透颅骨。然而，损害程度取决于钉子所遇到的大脑的确切角度和结构。
一名55岁男性被发现头部有32枚钉子并倒地。最初，患者表现出定位体征，但随后因病情恶化很快就必须进行插管。本报告描述了安全取出所有钉子的手术技术，根据所遇到的大脑位置和结构分为六类。文献回顾揭示了潜在并发症，如出血和感染，以及如何预防这些不良影响。
自伤性钉枪头部损伤是一种不常见的创伤性头部损伤形式。一些有助于预防我们的患者发生重大并发症的重要手段包括立体定向导航、抗生素预防以及血管造影以仔细监测血管损伤。
