PMC8202379_01
(a) Coronal, (b) Axial, and (c) Sagittal view of the brain computed tomography scan
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F1
Center, whose head was accidentally punctured with a corroded nail using a rivet gun at the midline parietal 6 h before [Figure 1]. Complaint of pain was localized at the site of the injury.
(a) Axial view, (b) Sagittal view, and (c) Oblique view of computed tomography scan three-dimensional reconstruction
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F2
The nail did not injure the brain parenchyma at all; however, it completely penetrated the middle portion of SSS [Figure 2].
Steps of dura repair. (a) Dura incision design (superior sagittal sinus). (b) The suture was placed to the dura flaps. The nail was extracted and the hemostatic agent was placed over the defect and also at the lateral walls of the sinus (not illustrated). Immediately, the dura flaps were approximated. (c) The final result of the sinus repair
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F3
There was no arteries appeared to be damaged [Figure 3].
Intraoperative findings. (a and b) The nail was being extracted. (c) Dural repair with hemostat and flaps, with bleeding volume of 100 cc (d) 4.5 cm nail
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F4
The lateral sinus wall was packed with hemostatic agents until the bleeding stopped while the surface of the sinus was closed with a hemostatic agent and the dura flaps that were approximated and sutured at the midline [Figure 4].