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
Statistics from Altmetric.com
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) (http://dx.doi.org/10.13039/501100000272).
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.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.