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CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(01): 071-073
DOI: 10.1055/s-0043-1762598
Case Report

Management of Eight Hand Drill Nails Induced Penetrating Brain Injury

Sandeep Kumar
1   Department of Neurosurgery, Mathuradas Mathur Hospital, Jodhpur, Rajasthan, India
,
Shailesh Thanvi
1   Department of Neurosurgery, Mathuradas Mathur Hospital, Jodhpur, Rajasthan, India
,
Hemant Beniwal
1   Department of Neurosurgery, Mathuradas Mathur Hospital, Jodhpur, Rajasthan, India
,
Sharad Thanvi
1   Department of Neurosurgery, Mathuradas Mathur Hospital, Jodhpur, Rajasthan, India
,
Shelly Singh
2   Department of Anaesthesia and Critical Care, Mathuradas Mathur Hospital, Jodhpur, Rajasthan, India
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Abstract

Background Penetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with hand drill while working in a factory is a peculiar accident. Because of its rarity and lack of standard protocol management, the management of PBI is complex.

Case Presentation We presented a case of a 26-year-old male with alleged history of insertion of eight nails from a hand drill machine from right side of head while working in a factory accompanied by loss of consciousness and history of vomiting. Computer tomography demonstrated that nails passed through the right parietal bone and reached up to contralateral hemisphere and posterior cranial fossa. Removal of nails and hematoma evacuation was done timely that led the patient to have a good postoperative recovery.

Conclusion In this case report, we discussed the successful management of a very rare penetrating head injury with a hand drill machine. The goal of this case report is to demonstrate the general management principles in PBI that can improve the patient outcome.

Keywords

craniotomy - foreign body - hand drill - posterior fossa - trauma


Publication History

Article published online:
01 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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