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CT of the brain showed a 6.3\u2009cm nail in the right frontal region without major intracerebral vessel disruption. He was taken to the operating room for left temporal wound washout, debridement of gross contamination and closure with titanium cranial fixation plate. The foreign body was not accessible on initial surgical intervention and was left in place to define anatomy and plan for subsequent removal. Thin slice CT images were used to create 3D reconstructions to facilitate stereotactic navigation and foreign body removal via right craniotomy the following day. The patient tolerated the procedures well and recovered with full neurological function.<\/jats:p>","DOI":"10.1136\/bcr-2020-237122","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T18:41:27Z","timestamp":1610476887000},"page":"e237122","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Treatment of a self-inflicted intracranial nail gun injury"],"prefix":"10.1136","volume":"14","author":[{"given":"Roger Chen","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Surgery, New York-Presbyterian Queens, Flushing, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miya Catherine","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York-Presbyterian Queens, Flushing, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Kopp","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York-Presbyterian Queens, Flushing, New York, USA"},{"name":"Department of Surgery, Weill Cornell Medical College, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Surgery, New York-Presbyterian Queens, Flushing, New York, USA"},{"name":"Department of Surgery, Weill Cornell Medical College, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"2025082623522260000_14.1.e237122.1","first-page":"S44","article-title":"Part 2: prognosis in penetrating brain injury","volume":"51","year":"2001","journal-title":"J Trauma"},{"key":"2025082623522260000_14.1.e237122.2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.83871"},{"key":"2025082623522260000_14.1.e237122.3","first-page":"329","article-title":"Nail-gun injuries treated in emergency departments--United States, 2001-2005","volume":"56","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025082623522260000_14.1.e237122.4","doi-asserted-by":"crossref","first-page":"828","DOI":"10.3171\/jns.2006.104.5.828","article-title":"Self-Inflicted nail-gun injury with 12 cranial penetrations and associated cerebral trauma. 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