PT  - JOURNAL ARTICLE
AU  - Yuh, Sung-Joo
AU  - Alaqeel, Ahmed
TI  - Ten self-inflicted intracranial penetrating nail gun injuries
AID  - 10.17712/nsj.2015.3.20150088
DP  - 2015 Jul 01
TA  - Neurosciences Journal
PG  - 267--270
VI  - 20
IP  - 3
4099  - http://nsj.org.sa/content/20/3/267.short
4100  - http://nsj.org.sa/content/20/3/267.full
SO  - Neurosciences (Riyadh)2015 Jul 01; 20
AB  - Penetrating craniocerebral injuries from nail gun use are rare. We describe a case of 10 self-inflicted nail gun injuries with intracranial penetrations. We also review the literature and discuss management strategies of such craniocerebral trauma. A 33-year-old male with a long-standing history of severe depression took a nail gun and sustained 10 penetrating intracranial injuries. Initial neuroimaging revealed 10 penetrating nails, all sparing the major cerebral vasculature. Immediate surgical removal was undertaken in the surgical suite using a combination of craniotomies, craniectomies, and blind removal. Intracranial injuries from self-inflicted nail gun misuse is becoming increasingly more frequent. Initial appropriate clinical decision-making are critical in preventing further cortical or vascular damage.