title: Management of unusual case of self-inflicted penetrating craniocerebral injury by a nail.
abstract: During war, sharp high-speed missiles have been driven inside the brain; however, in civilian practice it is rare to see such episodes. An approximately 10-cm long nail was driven inside the brain in an attempt to commit suicide by a schizophrenic patient. The case is being reported for its rarity in civilian practice and as a case of clinical interest. After investigating the patient by plain X-rays and a CT scan, he was operated by a neurosurgical team and the nail was successfully removed. In post-operative phase, patient was given medical and psychiatric care along with psychological counseling. The patient made good uneventful recovery in the post-operative phase.
authors.affiliation: Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, U.P., India.
authors.forename: Kamal
authors.initials: K
authors.lastname: Kishore
authors.forename: Sandeep
authors.initials: S
authors.lastname: Sahu
authors.forename: Pradeep
authors.initials: P
authors.lastname: Bharti
authors.forename: Subhash
authors.initials: S
authors.lastname: Dahiya
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.forename: Anurag
authors.initials: A
authors.lastname: Agarwal