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Thirty-two nails injected into the head: An operative report and review of the literature by Laura A. Zima; Subhiksha Srinivasan; Brad Budde; Ryan Kitagawa is a Medicine article available to read on EtoBox.

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## Background: 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. ## Case Description: 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. ## Conclusion: 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.

Who reads Thirty-two nails injected into the head: An operative report and review of the literature?

Author

Laura A. Zima; Subhiksha Srinivasan; Brad Budde; Ryan Kitagawa

Publisher

Scientific Scholar

Published

2022

Language

EN

Field

Medicine (Health Sciences)