Penetrating intracranial nail-gun injury to the middle cerebral artery: A successful primary repair

Isaacs, Albert M.; Yuh, Sung Joo; Hurlbert, R. John; Mitha, Alim P.

doi:10.4103/2152-7806.166168

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…Potential causes of arrest include hemorrhagic shock, hypertensive pneumothorax, airway involvement, cardiac tamponade and gas embolism. Those with hemodynamically stable findings suggestive of vascular injury can be taken directly to the angiography room for possible embolization or definitive diagnosis (Isaacs et al, 2015;Young et al, 2020).…”

Section: Initial Evaluation In the Emergencmentioning

confidence: 99%

Medical Approach in Penetrant Cervical Trauma: An Educational View

Zambrana¹,

Kairala²,

Etrusco³

et al. 2020

JEHD

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Doubts about procedures are common within the medical field, especially within the area of surgical clinic or medical surgery. In view of this explanation, the present was limited to carrying out a literary review on the subject of penetrating cervical trauma. To this end, research was carried out in databases linked to health and medicine, with specific descriptors for the subject, and articles from the years 2000 to 2020 were selected to clarify the subject. Penetrating cervical traumas are injuries to the neck that go beyond the platysma muscle. There is currently a great debate about the conduct to be adopted in such injuries. Penetrating cervical trauma comprises 5% to 10% of traumatic injuries in adults. In the last decade, mortality from penetrating cervical trauma was approximately 5%. The initial approach in the emergency room should be systematized in order to quickly identify possible signs of severity that usually require the immediate transfer of the patient to the operating room. Clinical examinations should be performed in order to elucidate and direct the surgeon to the best treatment for the patient. Finally, it is possible to conclude that cervical injuries are better treated with selective management.

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Section: Initial Evaluation In the Emergencmentioning

confidence: 99%

Medical Approach in Penetrant Cervical Trauma: An Educational View

Zambrana¹,

Kairala²,

Etrusco³

et al. 2020

JEHD

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“…[ 4 , 5 ] In recent years, the incidence of this type of injury has escalated; [ 6 ] thus, it is important for clinicians to understand this type of injury and address it in a timely manner. [ 7 ] Generally, a welding electrode can be successfully removed by surgery. However, if the preoperative examination shows that an important blood vessel or nerve is injured, the electrode should not be blindly removed.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of a penetrating brain injury caused by a welding electrode

Shi¹,

Sun²,

Chen

et al. 2019

Medicine

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Rationale:Penetrating brain injury caused by a welding electrode is a rare occurrence. This type of injury requires careful preoperative assessment and timely treatment measures to avoid secondary damage.Patient concerns:A 55-year-old male patient fell from a height of approximately 5 m during when a welding electrode in his left hand was inadvertently inserted into his brain. The patient had a GCS score of 15 and complaints of dizziness and headache. CT showed an object of metallic density penetrating the skull and entering the brain parenchyma in the frontotemporal region.Diagnosis:According to the clinical findings and preoperative imaging examination, the diagnosis was open craniocerebral injury with intracranial foreign body and left orbital wall fracture.Intervention:After definite diagnosis and sufficient preoperative preparation, active surgical treatment was carried out to remove intracranial foreign body. Anti-infection and other symptomatic treatment were given after operation. The signs of infection and changes of vital signs were closely observed.Outcomes:After treatment, no obvious adverse reactions were found and the patient was discharged. No complications such as infection occurred during the follow-up period of 6 months.Lessons:In treating patient with a welding electrode penetrating the brain, assessments need to be made preoperatively, the welding electrode needs to be removed in a timely manner, complete hemostasis needs to be achieved during surgery with total repair of the damaged area, and anti-inflammatory treatment needs to be administered postoperatively to achieve good results.

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An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

Besra

Harsh

Mishra

et al. 2018

IJNT

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Penetrating brain injuries by nails are rare. These usually have been reported as work-related accidents such as from falls or nail gun misfires and in cases of assault. The authors present a case of a 38-year-old psychiatric patient who attempted suicide by self-impalement of nail in the vertex near the midline of the head. Surprisingly, he was asymptomatic after a brief loss of consciousness, and with a Glasgow Coma Scale of 15. There was no history of vomiting or seizures. Intraoperative and postoperative periods were uneventful. Many unusual intracranial foreign bodies have been reported in medical literature, but one of a self-inflicted intracranial injury by hammering a nail is rare. In this article, the authors describe their case report and discuss the challenges encountered in the management of a patient with intracranial injuries by nail, along with a brief review of literature.

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Penetrating intracranial nail-gun injury to the middle cerebral artery: A successful primary repair

Cited by 9 publications

References 13 publications

Medical Approach in Penetrant Cervical Trauma: An Educational View

Medical Approach in Penetrant Cervical Trauma: An Educational View

Diagnosis and treatment of a penetrating brain injury caused by a welding electrode

An Interesting Case of Penetrating Brain Injury by a Self-Hammered Nail

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