• J Clin Neurosci · Jan 2008

    Penetrating head injury from nailguns: a case series from New Zealand.

    • Mark J Winder, Stephen J Monteith, Nicholas Lightfoot, and Edward Mee.
    • Department of Neurosurgery, Auckland City Hospital and Starship Children's Hospital, The University of Auckland, Auckland, New Zealand.
    • J Clin Neurosci. 2008 Jan 1;15(1):18-25.

    AbstractPenetrating head injury from nailguns has become increasingly recognised due to their frequent use in the construction industry and home. We report a New Zealand case series of 12 penetrating nailgun head injuries, the largest of its type, detailing presentation, management, risk factors and outcomes. Recommendations based on these factors are provided, suggesting a minimal surgical approach and an individually case-assessed need for antibiotic prophylaxis and anti-epileptic drugs. Prognostic factors on initial imaging are discussed. The majority of injuries, despite being visually impressive, are associated with minimal neurological impairment.

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