Removal of nail penetrating the basilar artery.
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.
Englot
Dario J
DJ
Neurovascular Section, Department of Neurosurgery, Yale University School of Medicine, New Haven, CT 06520, USA.
Laurans
Maxwell S
MS
Abbed
Khalid
K
Bulsara
Ketan R
KR
D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D001777:Blood Coagulation; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000601:surgery; D003252:Construction Materials; D003866:Depressive Disorder / Q000523:psychology; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D009915:Orbit / Q000601:surgery; D010027:Osteotomy; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D015050:Zygoma / Q000601:surgery