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Intracranial nail. A case report

F Tancioni1, P Gaetani, R Pugliese

  • 1Department of Surgery, Neurosurgery, IRCCS Policlinico S. Matteo, University of Pavia, Italy.

Journal of Neurosurgical Sciences
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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This study presents a rare case of a 9 cm nail penetrating the brain, highlighting the increasing incidence of low-velocity cranio-cerebral trauma. Standardized evaluation and emergency surgery are recommended for these unique injuries.

Area of Science:

  • Neurosurgery
  • Trauma Surgery
  • Forensic Pathology

Background:

  • Penetrating cranio-cerebral trauma from firearms is common in civilian settings.
  • High-velocity projectiles cause extensive brain damage.
  • Low-kinetic energy penetrating injuries are increasing due to industrial activities.

Observation:

  • Presents a rare case of cranio-cerebral trauma caused by a 9 cm nail.
  • This represents the longest nail-related penetrating brain injury reported in literature.
  • Literature on nail-induced cranio-cerebral injuries is scarce, lacking standardized management protocols.

Findings:

  • Suggests adapting firearm injury evaluation criteria for nail-induced brain trauma.
  • Recommends emergency surgery as the optimal treatment approach.

Related Experiment Videos

  • Surgical goals differ from high-velocity injuries, focusing on preventing immediate and delayed complications rather than debridement or foreign body removal.

    • Implications:

    • Highlights the need for standardized medical-surgical approaches for low-velocity penetrating brain injuries.
    • Emphasizes prompt surgical intervention to manage potential complications.
    • Contributes to understanding and managing an underreported category of traumatic brain injury.