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Multiple nails in the brain: an unusual suicidal attempt
Abbas Aghabiklooei1, Reza Molahoseini, Ashkan Khajoo
1Firouzgar Teaching Hospital, Department of Forensic Medicine, Iran University of Medical Sciences, Valiasr Sq, Valadi Ave, Tehran, Iran. aghabik@irantox.org
The American Journal of Forensic Medicine and Pathology
|July 28, 2011
Summary
This case report details the first documented instance of self-inflicted nail gun brain injuries in Iran following a suicide attempt. Forensic analysis was initially inconclusive regarding the injury
Area of Science:
- Neuroscience
- Forensic Pathology
- Traumatology
Background:
- Suicidal attempts pose significant public health challenges globally.
- Self-inflicted penetrating brain injuries are rare and diagnostically complex.
- Nail gun devices present unique mechanisms of injury.
Observation:
- A case of multiple, self-inflicted, brain-penetrating injuries from a nail gun is presented.
- Initial forensic examination presented challenges in determining the injury's manner.
- Clinical presentation and radiographic findings were crucial for diagnosis.
Findings:
- The study documents the first reported case of nail gun-induced suicidal brain injury in Iran.
- Radiographic imaging revealed extensive intracranial penetration.
- Forensic medical records and literature review aided in elucidating the injury mechanism.
Implications:
- This case highlights the need for comprehensive forensic evaluation in unusual injury patterns.
- Understanding novel methods of self-harm is critical for public health and safety.
- The findings contribute to the forensic literature on penetrating brain trauma.

