Multiple Penetrating Cranio-cerebral Homicidal Nail Injury: Case Report And Review Of Literature

摘要

Penetrating craniocerebral injuries commonly reported are accidental or suicidal. We report a case of multiple penetrating homicidal injuries to the cranium treated successfully. Introduction Penetrating injury to the brain by foreign bodies is accidental or suicidal1. There are very few reports in literature where nails have been used to cause grievous injury with homicidal intent. We report such an unusual case where 3 nails had been hammered in the skull of 20-year-old male with homicidal intention. Nail extraction was done. The patient had uneventful recovery with no focal neurologic deficit. Case Report A 20- year old male came walking to the emergency surgical room with history of 3 nails hammered into the skull 12 hours ago. He had no history of unconsciousness, vomiting or convulsion. On examination, the vital parameters were normal. Patient was fully conscious and oriented with no focal neurologic deficit. He had 3 nails inserted in his skull one in the midline, one on each side of the midline (Fig 1).