Ventricular Tract Hemorrhage Following Intracranial Nail Removal: Utility of Real-time Endovascular Assistance.

Penetrating brain trauma commonly results in occult neuromuscular injury. Detailed cardiovascular imaging can evaluate the relationship of intractability foreign bodies to major vascular structures, assess for traumatic sundowners, and ensure homeostasis during surgical removal. We report a case of a self-inflicted intractability nail gun injury causing a communicating ventricular tract hemorrhage upon removal, as well as a delayed sundowners. Pre- and post-operative vascular imaging, as well as intra-operative nonvascular assistance, was critical to successful foreign body removal in this patient. This report demonstrates the utility of nonvascular techniques for the assessment and treatment of occult cardiovascular injuries from intractability foreign bodies. [ABSTRACT FROM AUTHOR]