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An unsuspected intracranial foreign body on the acute medical unit
  1. Katherine Leigh Hull1,2 and
  2. Ruth Denton-Beaumont2
  1. 1 Cardiovascular Sciences, University of Leicester, Leicester, UK
  2. 2 Acute Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr Katherine Leigh Hull, katherine.hull{at}


A 54-year-old man was referred to the acute medical unit with a suspected stroke after presenting to his general practitioner with altered speech, left sided facial droop and confusion. The patient had a new right sided swelling on the lateral aspect of his head but did not report any history of trauma. Imaging revealed a 9.2 cm nail entering via the right parietal bone with associated acute haemorrhage. After further discussion with the patient, he disclosed a suicide attempt with a nail gun 5 days prior to presentation. The nail was successfully removed by the neurosurgical team and the patient received rehabilitation and psychiatric assessment on the brain injury unit before going home.

  • suicide (psychiatry)
  • emergency medicine
  • trauma cns/pns
  • depressive disorder

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  • Contributors KLH and RD-B both cared for the patient on the Acute Medical Unit and wrote the case report.

  • Funding KLH is funded by National Institute for Health Research (NIHR) (

  • Disclaimer The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.

  • Competing interests KLH is funded by a National Institute for Health Research (NIHR) Academic Clinical Fellow award. This case report presents independent work funded by the National Institute for Health Research (NIHR).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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