Serious Penetrating Craniocerebral Injury Caused by a Nail Gun

Jeon, Yong Hyun; Kim, Dong-Min; Kim, Sung Hoon; Kim, Seok Won

doi:10.3340/jkns.2014.56.6.537

Cited by 17 publications

(15 citation statements)

References 12 publications

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“… 4 19 In the literature, various antibiotic regimens are used and proposed for prophylaxis in nail gun brain injuries. 7 10 21 In our case, infectious disease recommended piperacillin/tazobactam preoperatively and vancomycin and meropenem for 6 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 70%

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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Section: Discussionmentioning

confidence: 70%

Treatment of a self-inflicted intracranial nail gun injury

et al. 2021

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“…In this case, CTA failed to show the precise anatomical relation between the FB and the ICA; we thus employed DSA and identified focal compression of the C4 segment of the ICA (Figure 2). Some reports have suggested that patient prognosis might be associated with vascular compensation and brainstem involvement, which can also be identified by imaging (18,19). Further, aside from imaging diagnosis, ICP monitoring can provide useful guidance for planning secondary exploratory operations (such as in this case).…”

Section: Discussionmentioning

confidence: 88%

“…Rapid FB removal would reduce the incidence of postoperative infection. However, any residual FBs may cause severe infectious complications, such as brain abscesses, for which the mortality rate is >50% (18,28,30). Nevertheless, this patient currently has no signs of intracranial infection or meningitis, which may be attributed to the active use of antibiotics, timely operation, and complete FB removal.…”

Section: Discussionmentioning

confidence: 92%

Orbitocranial Penetrating Injury With Multiple Vessel Invasion in an Infant: A Case Report and Literature Review

Chen

Yuan

et al. 2020

Front. Neurol.

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“…There have been several reports describing both accidents and suicide attempts involving nail guns [3][4][5][6]. This is apparently the first involving a robot held nail gun.…”

Section: Discussionmentioning

confidence: 99%

“…The nail gun-wielding robot would fire if there were any contact with the muzzle. The symptoms depends on the location of the penetrating trauma and vary from headache (4) to loss of vision (5) and hemiparesis (3).…”

Section: Discussionmentioning

confidence: 99%

Cerebral damage caused by nail gun injury

Andersen

Larsen

2016

Scandinavian Journal of Forensic Science

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Abstract:Background Accidents with nail guns are rather common, especially in the construction industry. Most injuries involve the extremities and several present with intracerebral injuries. When the patient is unconscious, it can be a big challenge to determine whether the injury is an accident, self-inflicted or a criminal act. Case presentation A 43-year-old male worker was brought to the emergency department after his coworkers had found him on the floor in the cafeteria at work. He was admitted to the hospital due to a possible apoplexy. The CT scan revealed a nail in his skull and acute surgery was performed. The forensic examination showed lesions of intracranial surgery and minor bruises on the arms. No sign of defense injuries was found. There were no signs of malfunction of the nail gun-wielding robot. On the side of the machine, there were a handheld nail gun and the police investigated the case as a possible criminal act. They found bloodstains on the back of the machine. When awake, the man explained, that by accident, he had hit his head against a nail gun and as a result of this, the nail gun delivered a nail into his skull. Conclusion Sometimes, the circumstances of a case are not clear and the investigators need to work with more than one theory. In criminal cases, it is important to carry out the forensic examination as soon as possible to preserve the trace evidence. In this case, the investigation of the scene of the accident disproved that a crime was committed. Keywords: Nail gun injury;work related accident;head injury FORENSIC SCIENCE Scandinavian journal of Nordisk rettsmedisinCopyright© Holstad Grafisk, Oslo -Print: prografia, Oslo -ISSN 1503-9552 1 nail was removed. A few days after the surgery, he was awakened from the induced coma and he regained consciousness. CLINICAL EXAMINATIONThe prehospital medical doctor who examined the male worker found CASE PRESENTATIONA 43-year-old Lithuanian male worker was hospitalized at the emergency department for treatment for a possible apoplexy. He worked at a factory where he was making wooden pallets, operating a robot, which had a nail gun structure. His coworkers had found him on the floor in the cafeteria at work. The corner of his mouth was hanging and his left arm and leg were paralyzed. He was admitted to the hospital to get an acute thrombolysis.The CT scan revealed a 6.5 cm long nail in his skull, surrounded by blood and a minor displacement of the brain. Acute surgery was performed and the Axial CTC scan showing the nail inside the brain, surrounded by blood Sagittal view showing the size of the nail, bleeding and thickness of the skull

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Serious Penetrating Craniocerebral Injury Caused by a Nail Gun

Cited by 17 publications

References 12 publications

Treatment of a self-inflicted intracranial nail gun injury

Treatment of a self-inflicted intracranial nail gun injury

Orbitocranial Penetrating Injury With Multiple Vessel Invasion in an Infant: A Case Report and Literature Review

Cerebral damage caused by nail gun injury

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