{"id":"7ab3d1bf-2165-4e75-adb3-e55d7d79012c","slug":"self-inflicted-nail-gun-injury-with-cranial-penetration-and-use-of-intraoperative-computed-tomography","title":"Self-inflicted nail-gun injury with cranial penetration and use of intraoperative computed tomography","authors":["Joseph A. Carnevale","John F. Morrison","David B. Choi","Petra M. Klinge","G. Rees Cosgrove","Adetokunbo A. Oyelese"],"abstract":"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 where minimal neurological deficit exists is essential. Case Description: Here, we present a case using intraoperative computed tomography to assist in early detection and resolution of hemorrhage in the surgical management of an intact patient with self-inflicted penetrating cranial trauma. Conclusions: This method may aid in early detection of hemorrhage and prevention of consequential neurological deterioration or emergent need for secondary surgery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7ab3d1bf-2165-4e75-adb3-e55d7d79012c/featured/hero-1782420930413.png","publishDate":"2016-05-06T00:00:00.000Z","doi":"10.4103/2152-7806.181980","categories":["Trauma","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2016/05/6740/SNI-7-259.pdf"}