Multiple self-inflicted nail gun head injury.

Area of Science:

• Neurosurgery
• Trauma Surgery
• Public Health

Background:

• Penetrating brain injuries from nail guns are an increasing concern due to more powerful and accessible tools.
• These injuries are often intentionally self-inflicted, necessitating consideration of suicide in cases involving the head, chest, or abdomen.

Observation:

• A case of a 50-year-old male with two intracranial penetrating nail gun injuries is presented.
• The primary preoperative concern identified was the potential formation of a traumatic pseudoaneurysm.

Findings:

• Preoperative and follow-up cerebral angiography are crucial for detecting traumatic pseudoaneurysms.
• Management of combined intracranial and extracranial nail gun injuries may require collaboration between neurosurgery, ophthalmology, otolaryngology, and oral maxillofacial surgery.

Implications:

• A rational management strategy aims to minimize additional injury and ensure successful patient discharge.
• Increased awareness and appropriate management protocols are vital for addressing the rising incidence of nail gun brain injuries.