A Rare History: an Intracranial Nail Present for Over a Half-Century

Durmaz, Ozkan; Karadag, Ali; Ozer, Fusun Demircivi; Camlar, Mahmut; Middlebrooks, Erik H.; Bozkurt, Baran; Senoglu, Mehmet

doi:10.14712/18059694.2018.5

Acta Medica > Archive > 2017, Vol. 60 > Issue 3 > A Rare History: an Intracranial Nail…

Acta Med. 2017, 60: 124-126

https://doi.org/10.14712/18059694.2018.5

A Rare History: an Intracranial Nail Present for Over a Half-Century

Ozkan Durmaz^a, Ali Karadag^b, Fusun Demircivi Ozer^b, Mahmut Camlar^b, Erik H. Middlebrooks^c, Baran Bozkurt^d, Mehmet Senoglu^b

^aKars Harakani Public Hospital, Department of Neurosurgery, Kars, Turkey
^bTepecik Research and Training Hospital, Department of Neurosurgery, Izmir, Turkey
^cMD. Department of Radiology, Mayo Clinic, Jacksonville, FL, USA
^dUniversity of Minnesota, Department of Neurosurgery, Minneapolis, MN, USA

Received January 11, 2017
Accepted June 28, 2017

We present a rare case of a patient with a persistent headache for many years found to have an intracranial nail present for nearly 65 years. The nail was found entering approximately 1 cm from the midline on the left side, passing below the superior sagittal sinus, with the tip 1.5 mm right of the frontal horn of the lateral ventricle. Treatment strategies designed to optimize outcome for intracranial foreign bodies and possible complications are discussed in this report. We also discuss the decision for surgical intervention for foreign bodies and the relevance of position of the foreign body.