Neurosurgical Management of Self-Inflicted Cranial Crossbow Injury

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

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 ...

Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

Objective Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pne...

An unusual self-inflicted injury of the breast.

BSP retention at 25 min was 20% (normal 15 %) and 13 % at 45 min (normal < 5%). Her appetite returned with a 7 kg gain in weight. Her abdomen remained distended and her liver easily palpable. Ten months after the initial presentation she was clinically unchanged and still taking occasional analgesics. Her haemoglobin was 12 g/100 ml, alkaline phosphatase 9 King-Armstrong u, negative occult bloo...

Self-inflicted nail-gun injury with intracranial and intracardiac nails

Nail-gun injury is commonly encountered in the emergency department. The severity of the injury depends on the specific injuries to organs and vascular structures. Computed tomography (CT) is the ideal imaging test of choice, as it can identify the more critical injuries that require immediate intervention. We present a case of self-inflicted nail-gun injury with intracranial and intracardiac n...

Self-inflicted orbitocranial injury with a plastic ballpoint pen.