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Case Report: Projectile Into Right Frontal Lobe From a Nail Gun.
Tye Patchana1, Taha M Taka2, Hammad Ghanchi1
1Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Cureus
|September 3, 2020
Summary
A nail gun injury penetrated a patient's sinus and frontal lobe, causing blindness. Surgical removal led to recovery with no new neurological deficits, highlighting the need for mental health support.
Area of Science:
- Neurosurgery
- Ophthalmology
- Trauma Surgery
Background:
- Intracranial nail gun injuries are rare but severe, posing significant diagnostic and management challenges.
- Maxillary sinus and frontal lobe penetration requires a multidisciplinary approach for optimal patient outcomes.
Observation:
- A patient presented with headache and right eye blindness following a nail gun injury to the right maxillary sinus and frontal lobe.
- Initial clinical presentation included visual impairment and neurological symptoms secondary to foreign body trajectory.
Findings:
- Surgical removal of the nail gun projectile was successful.
- Post-operative recovery showed no new neurological deficits, with the exception of persistent pre-existing right eye blindness.
Implications:
- This case underscores the importance of prompt, multidisciplinary management in complex craniofacial and intracranial trauma.
- Mental health considerations are crucial for patients recovering from severe penetrating brain injuries.
- Detailed case reports are vital for understanding the clinical course and treatment strategies for rare traumatic injuries.
