A rare self-injurious case of multiple penetrating brain injury by nails in a young patient with depressive disorder

Xu, Minhui; Wen, Jin‐Kun; Xun, Zhu; Chen, Pin; Wang, Cunzu

doi:10.1007/s13760-015-0439-7

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…Regardless of the surgical method, close intracranial pressure monitoring is recommended after surgery. 32 The most common postoperative complications after penetrating brain injuries are infection and epilepsy. The infection rates range from 55% to 90% within 3 and 6 weeks, respectively.…”

Section: Discussionmentioning

confidence: 99%

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

et al. 2021

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Most nail gun injuries involve the extremities and result from work-related accidents. Injuries to the brain or thorax are relatively rare, and cases with injuries to both regions are even rarer and often lethal. Initial evaluation, resuscitation, and surgical planning can be challenging for emergency physicians and surgeons. We present the details of a man with multiple nail gun injuries to the brain, lung, and heart following a suicide attempt. The patient presented to the emergency department in shock. After immediate resuscitation, emergent sternotomy, and subsequent craniotomy, he was discharged without significant morbidity. According to the literature, this is the only reported case involving multiple nail gun injuries to the brain, lungs, and heart. The mortality rate of multiple nail gun injuries involving the head and chest is approximately 20%. Rapid evaluation, immediate resuscitation, and appropriate imaging and surgery are crucial for increasing survival and achieving a good prognosis. Emergency sternotomy for cardiac injury is the foremost priority, and the timing of craniotomy depends on the patient’s vital sign status and whether brain injury is evident. A preprint of this article is available online: DOI: 10.21203/rs.3.rs-35448/v1.

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Section: Discussionmentioning

confidence: 99%

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

et al. 2021

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“…No matter which surgical method is adopted, close intracranial pressure monitoring is suggested after surgery (28). The most common postoperative complications for penetrating brain injuries are infection and epilepsy.…”

Section: Penetrating Brain Injuriesmentioning

confidence: 99%

“…The infection rates ranges from 55-90% within 3 and 6 weeks, respectively (29). Due to the high infection rate, prophylactic tetanus and broad-spectrum antibiotics should be initiated as early as possible (18,28,29). On the other hand, the percentage of epilepsy after penetrating brain injuries is around 30-50%, signi cantly higher than the 1.5-27% in blunt brain injuries (18).…”

Section: Penetrating Brain Injuriesmentioning

confidence: 99%

“…On the other hand, the percentage of epilepsy after penetrating brain injuries is around 30-50%, signi cantly higher than the 1.5-27% in blunt brain injuries (18). Prophylactic antiepileptics are recommended to prevent early post-traumatic epilepsy (28,30,31). However, their duration is still controversial for the prevention of late post-traumatic epilepsy.…”

Section: Penetrating Brain Injuriesmentioning

confidence: 99%

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Survival of multiple nail gun injuries to the head, lung, and heart: A case report

Wang

Chen

Huang

et al. 2020

Preprint

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Background: Most nail gun injuries occur at the extremities due to working accidents. Injuries to the brain or thorax are relatively rare, and cases with both injuries are even rarer. Initial evaluation, resuscitation and surgical planning can be challenging. Case presentation: Here, we present a case with nail gun injuries to the brain, lung, and heart by suicide attempt. The patient presented to the emergency department under shock. After resuscitation and surgical intervention, he was discharged without significant morbidity. Conclusions: Multiple nail gun injuries, especially those to vital organs such as the brain, lung, and heart, can be challenging to emergency physicians and surgeons. Imaging tools, treatment strategies, and possible complications are discussed in this article to provide optimized outcomes in such situations.

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“…Penetrating cerebral injuries caused foreign bodies are rare in civilian neurosurgical trauma, although there are various reports to blast or gunshot injuries in warfare due to multiple foreign bodies like pellet and nails [11,12]. The hemodynamic instability which is the most commom perioperative complication usually is mild and resolved in one or 2 days.…”

Section: Perioperative and Anesthesia Managementmentioning

confidence: 99%

Treatment strategies for carotid artery penetrating injury: a case report and literature review

et al. 2017

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Background: The carotid artery is an important blood vessel in the human body. Its ruptures caused by accidents can be lethal cases without timely treatment. Currently, successful rescue cases have rarely been reported, hence we present the following case. Case presentation: A patient who was a 46-year-old male admitted due to left neck trauma that lasted almost a day. The CT angiography (CTA) of the neck showed two pseudoaneurysms: one on the anterior wall and one on the posterior wall of the carotid artery. In our case, we considered an open approach to reconstruct the carotid artery. After excision of the aneurysm, the internal carotid artery was stitched. Electrophysiological monitoring and shunt were used during the operation. The postoperative course was uneventful, and the patient remains free of symptoms. Conclusions: Many departments jointly and positive and effective surgical intervention are the key to reduce morbidity and mortality of carotid artery penetrating injury.

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A rare self-injurious case of multiple penetrating brain injury by nails in a young patient with depressive disorder

Cited by 7 publications

References 5 publications

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

Survival after multiple nail gun injuries to the brain, lung, and heart: a case report and a review of the literature

Survival of multiple nail gun injuries to the head, lung, and heart: A case report

Treatment strategies for carotid artery penetrating injury: a case report and literature review

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