Case Report: Projectile Into Right Frontal Lobe From a Nail Gun

Abstract

We present a case of a nail gun injury penetrating the right maxillary sinus and frontal lobe with complaints of headache and right eye blindness. After surgical removal and treatment, there were no neurological deficits aside from the persistence of right eye blindness that the patient initially presented with. Our report describes the patient's clinical course, the multidisciplinary medical and surgical management, along with the clinical workup and important mental health considerations for patients presenting with intracranial nail gun injuries.

Thirty-two nails injected into the head: An operative report and review of the literature

“…[ 8 ] A craniotomy was performed with anterior extradural dissection until the entry point of the nail was found. [ 8 ] There was no parenchymal hematoma in this patient’s case. [ 8 ] To cover the dural defect, a pericranial flap was set below and DuraGen and DuraSeal were also used to seal the defect.…”

“…[ 8 ] To cover the dural defect, a pericranial flap was set below and DuraGen and DuraSeal were also used to seal the defect. [ 8 ] In our patient, a similar approach was used including a pericranial graft and foam-based hemostatic agents to seal the defect.…”

“…A previous case by Patchana et al describes a nail extending through the maxillary sinus into the skull base and right frontal lobe. [8] A craniotomy was performed with anterior extradural dissection until the entry point of the nail was found. [8] ere was no parenchymal hematoma in this patient's case.…”