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Case Reports in Neurological Medicine
Volume 2016, Article ID 4371367, 4 pages
http://dx.doi.org/10.1155/2016/4371367
Case Report

Management of a Low-Energy Penetrating Brain Injury Caused by a Nail

1Neurosurgery Residency Program, Discipline of Neurosurgery, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior 112, 01220-0202 Sao Paulo, SP, Brazil
2Discipline of Neurosurgery, Santa Casa de Sao Paulo School of Medical Sciences, Rua Doutor Cesário Mota Júnior 112, 01220-0202 Sao Paulo, SP, Brazil

Received 19 April 2016; Accepted 5 June 2016

Academic Editor: Abbass Amirjamshidi

Copyright © 2016 V. R. Ferraz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Low-energy penetrating nail injury to the brain is an extremely rare neurosurgical emergency. The most common cause of nail gun injury is work related accidents; other causes result from accidental firing of a nail gun, suicide attempts by firing nail guns into the brain, and bomb blasts containing pieces of nails. Neurosurgical treatment performed by craniotomy still seems to be the safest one; there are reports of complications such as subdural hematoma and intraparenchymal hemorrhages following the blind removal of foreign bodies leading to suggestions that all penetrating foreign bodies should be removed under direct vision. We report a rarely described neurosurgical approach for removal of a penetrating nail from the brain and skull without evidence of associated hematoma and other brain lesions.