External Ventricular Drainage Preceding the Removal of a Nail from the Intracranial Space as a Safe Management Strategy for Predicted Secondary Intraventricular Hemorrhage

Morita, Takumi; Maki, Yoshinori; Yamada, Daisuke; Ishibashi, Ryota; Chin, Masaki; Yamagata, Sen

doi:10.1016/j.wneu.2017.07.104

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…Two review articles summarized 83 unique cases that were treated from 1959 to 2010 [14,15]. A PubMed search using the terms nail gun and penetrating head injury identified an additional 16 cases published from 2010 to 2017 [2][3][4]8,[10][11][12][13][16][17][18]. Low-velocity penetrations, such as nail-gun PHIs, are considered less likely to produce focal neurological deficits than high-velocity penetrations.…”

Section: Discussionmentioning

confidence: 99%

“…However, the subset of nail-gun injuries that are intracranial account for fewer than 0.1% of all reported nail-gun injuries. Although intracranial nail-gun injuries have typically been characterized as the result of accidental or workplaceassociated trauma [3,7,8], recent reports reflect an increase in intentional self-inflicted injuries [8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Hendricks¹,

DiDomenico²,

Lawton³

et al. 2022

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Hendricks¹,

DiDomenico²,

Lawton³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…The needle core was retracted when bloody cerebrospinal fluid flowed out, and the drainage catheter was advanced another 1–2 cm. The scalp was then sutured, and the internal drainage tube was fixed and connected to the external drainage tube 5. After the surgery, the drainage tube was elevated and placed 10–15 cm above the level of external auditory canals, and drainage was maintained unobstructed.…”

Section: Methodsmentioning

confidence: 99%

<p>External ventricular drainage combined with continuous lumbar drainage in the treatment of ventricular hemorrhage</p>

Xia¹,

Jiang²,

Li³

et al. 2019

TCRM

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Objective: Intraventricular hemorrhage (IVH) is characterized by acute onset, rapid progression, and high disability and mortality rates. In this study, we investigated the clinical effect of external ventricular drainage combined with continuous lumbar drainage in IVH treatments. Methods: 114 patients with IVH treated at the Department of Neurosurgery, First Affiliated Hospital of Wannan Medical College from January 2015 to December 2017, were included in the study. Based on the different surgical methods, patients were divided into control (n=79) and study groups (n=35). The control group was treated with external ventricular drainage, whereas the study group was treated with external ventricular drainage combined with continuous lumbar drainage. The incidence of intracranial infection and hydrocephalus was compared between the two groups. The Glasgow coma scale (GCS) and the Glasgow outcome scale (GOS) were compared between the two groups 7 days postoperatively and at follow-up visits, respectively. Results: The incidence of intracranial infection and hydrocephalus in the study group was significantly lower compared with those in the control group ( P <0.05). Seven days postoperatively, the GCS score of the study group was significantly higher than that of the control group ( P <0.05). At the 3-month follow-up visit, the GOS score of the study group was higher than that of the control group ( P <0.05). Conclusions: Using external ventricular drainage combined with continuous lumbar drainage can reduce the incidence of intracranial infection and hydrocephalus and improve the prognoses and quality of life in patients with IVH.

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Treatment of a self-inflicted intracranial nail gun injury

et al. 2021

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A 30-year-old man walked into the emergency department after a suicide attempt by firing a nail from a pneumatic nail gun directed at his left temple. He was haemodynamically stable and neurologically intact, able to recall all events and moving all extremities with a Glascow Coma Scale of 15. CT of the brain showed a 6.3 cm nail in the right frontal region without major intracerebral vessel disruption. He was taken to the operating room for left temporal wound washout, debridement of gross contamination and closure with titanium cranial fixation plate. The foreign body was not accessible on initial surgical intervention and was left in place to define anatomy and plan for subsequent removal. Thin slice CT images were used to create 3D reconstructions to facilitate stereotactic navigation and foreign body removal via right craniotomy the following day. The patient tolerated the procedures well and recovered with full neurological function.

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External Ventricular Drainage Preceding the Removal of a Nail from the Intracranial Space as a Safe Management Strategy for Predicted Secondary Intraventricular Hemorrhage

Cited by 3 publications

References 16 publications

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

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

<p>External ventricular drainage combined with continuous lumbar drainage in the treatment of ventricular hemorrhage</p>

Treatment of a self-inflicted intracranial nail gun injury

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