How to Remove a Penetrating Intracranial Large Nail
| Autor: | Naoki Noguchi, Kenji Miki, Yasutoshi Kai, Tetsuhisa Yamada, Megumu Mori, Yoshihiro Natori |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage Suicide Attempted Computed tomography Venous flow 03 medical and health sciences Subarachnoid Hemorrhage Traumatic 0302 clinical medicine Head Injuries Penetrating Humans Medicine skin and connective tissue diseases Foreign Bodies Aged integumentary system medicine.diagnostic_test business.industry Brain medicine.disease Surgery SSS medicine.anatomical_structure 030220 oncology & carcinogenesis Angiography Nail (anatomy) Neurology (clinical) Tomography X-Ray Computed business Craniotomy 030217 neurology & neurosurgery Superior sagittal sinus |
| Zdroj: | World Neurosurgery. 127:442-445 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2019.04.161 |
| Popis: | Background The incidence of penetrating intracranial foreign bodies is rare, and to date, not many relevant studies have been published worldwide. In particular, a nail penetrating intracranially, just near the superior sagittal sinus (SSS), is extremely rare. We treated the case of a large nail that penetrated the middle of the head and strategized its removal. Case Description A 70-year-old man had experienced headache lasting a day. Computed tomography of the brain revealed a nail penetrating the middle of his head; in particular, the tip of the nail had penetrated the right ventricle, causing a slight subarachnoid hemorrhage. Angiography showed that the nail was very close to the SSS and that the venous flow was normal. However, there was a risk of the nail penetrating through the SSS or injuring other arteries, and we removed the nail directly from the intracranial view to stop bleeding from the SSS or other vessels. Fortunately, there was no bleeding, and we washed the hole created by the nail penetration and concluded the surgery. Conclusions Our technique is useful and safe for removing large nails penetrating the head. |
| Databáze: | OpenAIRE |
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