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KMID : 0388419960050020121
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Konkuk Journal of Medical Sciences
1996 Volume.5 No. 2 p.121 ~ p.120
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An Operative Case of Intracranial Nail-gunshot Injury
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Abstract
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The authors report a rare case of gunshot injury to the head by a nail-gun which was treated by stereotactic surgery. The patient was arrived at our emergency room by 119 rescue. He was 23 years old with semicomatose mentality and decerebrated
rigidity.
On simple skull series and Brain CT scan, the large nail was located in the 3rd ventricular area in the mid-line with vertical stature. The entry point was identified 1 cm anterior to the coronal suture line and just lateral to the sagittal
suture
line.
We planned stereotactic removal and the stereotactic frame was introduced to the patient. The foreign body was removed stereotactically with the guidance of C-arm fluoroscope. The # 8 L EVD drain was placed into the 3rd ventricle. Intensive care
was
performed to the young patient, but he died due to initial severe brain damage at # POD 6.
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