Unique Presentation and Novel Surgical Approach to a Transcribriform Penetrating Head Injury Caused by a Nail Gun

Authors

Benjamin K. Hendricks, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.Follow
Joseph D. DiDomenico, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.
Michael T. Lawton, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.Follow
Andrew S. Little, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, USA.Follow

Document Type

Article

Abstract

A penetrating head injury caused by a nail gun is an infrequent clinically diverse condition that varies in severity by the neurovascular structures involved. The authors present the case of a patient whose frontal lobe was pierced by a nail that entered via a transnasal transcribriform trajectory without causing vascular injury or intracranial hemorrhage; the man was unaware of the nail's presence and presented with headache five days after the incident. The nail was extracted using a bifrontal craniotomy for direct visualization and for defect repair of the skull base combined with endoscopic endonasal extraction of the nail.

Publication Date

6-1-2022

Publication Title

Cureus

ISSN

2168-8184

Volume

14

Issue

6

First Page

e25581

PubMed ID

35784965

Digital Object Identifier (DOI)

10.7759/cureus.25581

Recommended Citation

Hendricks, Benjamin K.; DiDomenico, Joseph D.; Lawton, Michael T.; and Little, Andrew S., "Unique Presentation and Novel Surgical Approach to a Transcribriform Penetrating Head Injury Caused by a Nail Gun" (2022). Neurosurgery. 1599.
https://scholar.barrowneuro.org/neurosurgery/1599