Surgical Management and Prophylactic Antibiotic Treatment of Pneumatic Nailer Penetrating Brain Injury: a Case Report and Literature Review

Penetrating traumatic brain injury (pTBI) can lead to high mortality and life-threatening complications. The thorough examination and proper treatment are required. A 30-year-old man suffered from the pTBI during work, and the non-contrast computed tomography (CT) scan was revealed the metallic rod penetrated the right temporal skull and extended into the right inferior temporal gyrus, accompanied by subarachnoid hemorrhage. After diagnosis, a right frontotemporal craniotomy with intracranial nail extraction was performed, and prophylactic antibiotics were prescribed. The patient's symptoms resolved, and he was discharged without focal neurological deficits.