Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography
Joseph A Carnevale1, John F Morrison1, David B Choi1
1Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island 02903, USA.
Background:
Management of penetrating cranial trauma remains a high acuity and imaging intense neurosurgical disorder. Imaging of vital structures, including angiography, is typically conducted to understand the proximity of vital structures in comparison to a foreign body and prepare for intraoperative complications such as hemorrhage. Preservation of function following initial injury in cases where minimal neurological deficit exists is essential.
Case Description:
Here, we present a case using intraoperative computed tomography to assist in early detection and resolution of hemorrhage in the surgical management of an intact patient with self-inflicted penetrating cranial trauma.
Conclusions:
This method may aid in early detection of hemorrhage and prevention of consequential neurological deterioration or emergent need for secondary surgery.
