Removal of nail penetrating the basilar artery.

Englot DJ, Laurans MS, Abbed K, Bulsara KR
Neurosurg Rev. 2010 33 (4): 501-4

PMID: 20532583 · DOI:10.1007/s10143-010-0268-3

Nail-gun injuries have become an increasingly prevalent source of penetrating intracranial trauma. Few cases of intracranial nail-gun injuries disturbing major cerebrovascular structures have been reported, and none entailing basilar artery involvement. We report here the case of a 51-year-old male with an intracranial nail-gun injury involving penetration of the distal basilar artery. Operative removal was accomplished under direct vision using a double concentric cranioorbital zygomatic osteotomy for a trans-Sylvian approach. We highlight the principles involved in removing foreign bodies penetrating critical neurovascular structures.

MeSH Terms (17)

Basilar Artery Blood Coagulation Cerebral Angiography Cerebral Hemorrhage Construction Materials Depressive Disorder Foreign Bodies Head Injuries, Penetrating Humans Male Middle Aged Neurosurgical Procedures Orbit Osteotomy Suicide, Attempted Tomography, X-Ray Computed Zygoma

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