| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4288742 | International Journal of Surgery Case Reports | 2016 | 4 Pages |
•This nail impalement injury to the brain was self-inflicted by a mentally challenged person who presented in a non-neurosurgical centre.•After clinical assessment and limited investigations, a burr hole adjoining the nail was made by the orthopaedic team to loosen the nail and to carry out a successful extraction.•The patient’s headache resolved swiftly and his limb weakness recovered fully by four months.
A nail impalement injury to the brain usually results from accidents like falls or nail gun miss-fires or suicide attempts or from barbaric punishment for certain crimes which are rarely practiced in some remote areas. We present an unusual, intentional, self-impalement of a 4 in. nail into the brain in a mentally challenged young man. This case report describes the challenges encountered in the management of a patient with impaled nail in the brain in a non-neurosurgical centre.
