Management of a nail impalement injury to the brain in a non-neurosurgical centre: A case report and review of the literature
| Autor: | Mathew Emeka Orjiaku, Chika Thaddeus Agu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Punishment media_common.quotation_subject Nail impalement Poison control Case Report Injury Non-neurosurgical centre Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention medicine skin and connective tissue diseases media_common 030222 orthopedics integumentary system business.industry Human factors and ergonomics Brain medicine.disease Surgery medicine.anatomical_structure Nail (anatomy) Nail gun Medical emergency business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • This nail impalement injury to the brain was self-inflicted by a mentally challenged person who presented in a non-neurosurgical centre. • After clinical assessment and limited investigations, a burr hole adjoining the nail was made by the orthopaedic team to loosen the nail and to carry out a successful extraction. • The patient’s headache resolved swiftly and his limb weakness recovered fully by four months. A nail impalement injury to the brain usually results from accidents like falls or nail gun miss-fires or suicide attempts or from barbaric punishment for certain crimes which are rarely practiced in some remote areas. We present an unusual, intentional, self-impalement of a 4 in. nail into the brain in a mentally challenged young man. This case report describes the challenges encountered in the management of a patient with impaled nail in the brain in a non-neurosurgical centre. |
| Databáze: | OpenAIRE |
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