title: Radiological evidence of a modern 'martyr's crown': suicide by multiple self-inflicted nail gun shots.
abstract: A man attempted suicide by shooting seven nails into his head with a nail gun; five in the right temporal region and two in the left. He subsequently presented at the emergency department with complaints of headache. He was found to be oriented in space and time, with no focal neurological deficits. The patient handed the nail gun to the doctors and informed them that he had earlier attempted suicide. Radiological studies showed the presence of nails arranged like a 'martyr's crown'. The man died six days after the surgical removal of the nails. Autopsy was refused by Italian authorities. We conclude that imaging techniques are an adjuvant to forensic medical diagnosis and forensic autopsies.
authors.affiliation: Institute of Legal Medicine, University of Foggia, Foggia, Italy.
authors.forename: Cristoforo
authors.initials: C
authors.lastname: Pomara
authors.forename: Stefano
authors.initials: S
authors.lastname: D'Errico
authors.forename: Vittorio
authors.initials: V
authors.lastname: Fineschi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Guglielmi
mesh_terms: D003252:Construction Materials; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006257:Head / Q000000981:diagnostic imaging; D020197:Head Injuries, Penetrating / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013405:Suicide