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Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography

Carnevale, JA; Morrison, JF; Choi, DB; Klinge, PM; Cosgrove, GR; Oyelese, AA; (2016) Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography. Surgical Neurology International , 7 S259-S262. 10.4103/2152-7806.181980. Green open access

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Abstract

Background: Management of penetrating cranial trauma remains a high acuity and imaging intense neurosurgical disorder. Imaging of vital structures, including angiography, is typically conducted to understand the proximity of vital structures in comparison to a foreign body and prepare for intraoperative complications such as hemorrhage. Preservation of function following initial injury in cases where minimal neurological deficit exists is essential. Case Description: Here, we present a case using intraoperative computed tomography to assist in early detection and resolution of hemorrhage in the surgical management of an intact patient with self-inflicted penetrating cranial trauma. Conclusions: This method may aid in early detection of hemorrhage and prevention of consequential neurological deterioration or emergent need for secondary surgery.

Type: Article
Title: Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography
Open access status: An open access version is available from UCL Discovery
DOI: 10.4103/2152-7806.181980
Publisher version: http://doi.org/10.4103/2152-7806.181980
Language: English
Additional information: Copyright: © 2016 Surgical Neurology International This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Keywords: Brain trauma, intraoperative computed tomography, penetrating brain injury, self‑harm disorder, self‑inflicted injury
URI: https://discovery.ucl.ac.uk/id/eprint/10069547
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