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http://dx.doi.org/10.1111/j.1742-6723.2004.00598.xDOI Listing

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Article Synopsis
  • - A 28-year-old male suffered a rare penetrating brain injury from a nail gun accident, requiring immediate surgical intervention to prevent infection.
  • - The patient underwent a craniotomy for the removal of the foreign object, with imaging used to accurately locate the injury and customize the surgical approach while minimizing damage to brain tissue.
  • - Post-surgery, he received antibiotics and seizure medications, resulting in no neurological deficits or infections during follow-up, highlighting the effectiveness of prompt treatment in such unusual cases.
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Background And Importance: We report a case of nail gun-related penetrating brain injury, puncturing through the anterior third of superior sagittal sinus, which remained patent and was associated with an arteriovenous (AV) shunt revealed on catheter angiogram.

Clinical Presentation: A previously well 35-year-old male patient presented with a self-inflicted pneumatic nail gun injury. Neurological examination was unremarkable.

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Nail gun use and its associated incidence of injury have continued to increase since it was first introduced in 1959. While most of these injuries involve the extremities, a subset of patients suffer intracranial trauma. The most recent comprehensive review on this particular subject referenced 41 cases and advocated for further discussion regarding proper treatment plans for these individuals.

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Background: An estimated 3700 individuals are seen annually in US emergency departments for nail gun-related injuries. Approximately 45 cases have been reported in the literature concerning nail gun injuries penetrating the cranium. These cases pose a challenge for the neurosurgeon because of the uniqueness of each case, the dynamics of high pressure nail gun injuries, and the surgical planning to remove the foreign body without further vascular injury or uncontrolled intracranial hemorrhage.

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Hand injury with a nail gun: a case report with literature review.

Acta Orthop Traumatol Turc

May 2016

Başkent University Zübeyde Hanım Hospital, Department of Emergency Medicine, İzmir, Turkey.

The nail gun was introduced in the late 1950s to increase the ease of driving nails, studs, bolts, or staples into various hard surfaces. The nail gun is a potentially dangerous device that is still commonly used in the construction industry. Since its introduction, an increasing number of studies have reported injuries associated with nail guns.

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