title: Management of a nail impalement injury to the brain in a non-neurosurgical centre: A case report and review of the literature.
abstract: 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 4in. 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.
authors.affiliation: Consultant Orthopaedic & Trauma Surgeon and Lecturer Imo State University, Owerri, Nigeria. Electronic address: tcagu@yahoo.com.
authors.forename: Chika Thaddeus
authors.initials: CT
authors.lastname: Agu
authors.affiliation: Surgical Registrar Imo State University Teaching Hospital, Orlu, Nigeria.
authors.forename: Mathew Emeka
authors.initials: ME
authors.lastname: Orjiaku
keywords: Brain; Injury; Nail impalement; Non-neurosurgical centre