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- Dario J Englot, Maxwell S Laurans, Khalid Abbed, and Ketan R Bulsara.
- Neurovascular Section, Department of Neurosurgery, Yale University School of Medicine, New Haven, CT 06520, USA.
- Neurosurg Rev. 2010 Oct 1; 33 (4): 501-4.
AbstractNail-gun injuries have become an increasingly prevalent source of penetrating intracranial trauma. Few cases of intracranial nail-gun injuries disturbing major cerebrovascular structures have been reported, and none entailing basilar artery involvement. We report here the case of a 51-year-old male with an intracranial nail-gun injury involving penetration of the distal basilar artery. Operative removal was accomplished under direct vision using a double concentric cranioorbital zygomatic osteotomy for a trans-Sylvian approach. We highlight the principles involved in removing foreign bodies penetrating critical neurovascular structures.
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