Europe South Asia Asia Pacific Americas Middle East Africa BBC Homepage World Service Education



Front Page

World

UK

UK Politics

Business

Sci/Tech

Health

Education

Sport

Entertainment

Talking Point

In Depth

On Air

Archive
Feedback
Low Graphics
Help

Monday, April 19, 1999 Published at 17:57 GMT 18:57 UK


Health

Nail baby making excellent progress

X-ray shows how the nail penetrated the boy's brain

Doctors say a 23-month-old boy is making excellent progress after emergency surgery to remove a nail embedded in his brain as a result of the Brixton bomb blast.

The boy underwent a 90-minute operation at Great Ormond Street Hospital to remove the four-inch nail, nearly one inch of which was embedded in his brain.

Doctors are confident he will avoid brain damage. He is being kept under 24-hour observation, but is expected to leave hospital within days.

Surgeons carried out a procedure known as a craniotomy to remove the nail.

Small holes were drilled near the nail, which had penetrated the left frontal region of the brain.

The surgeons then cut between the holes to create a lid of bone that could be lifted back.

After the nail was removed, the bone was replaced, and the membranes, muscle and skin were sewn back into position.

Good progress


[ image: The child underwent surgery at Great Ormond Street Hospital]
The child underwent surgery at Great Ormond Street Hospital
A hospital spokeswoman said on Monday that the boy, who has not been named, is making very good progress.

She said: "He is up and running about and doing extremely well.

"Anybody with a nail in their head is lucky to be alive."

A craniotomy is the standard procedure used in neurosurgery.

It is used to treat:

  • Brain tumours
  • Weaknesses in blood vessels
  • Bleeding and blood clots caused by physical injury
  • Damage to tissues covering the brain
  • Severe nerve or facial pain

The front part of the brain, where the nail penetrated, has a role in controlling the personality, behaviour and the emotions.

It is also involved in planning, organising and problem solving.

Good chance of full recovery

Trevor Powell, a clinical psychologist working for West Berkshire Priority Care Services, said there was a good chance that a young person could make a full recovery from apparently serious brain injury.

"There is a possibility that an injury of this sourt could cause some minimal brain damage," he said.

"Memory and concentration could be impaired, as well as the ability to more than one thing at a time.

"But a younger person's brain is less set in its ways than somebody who is older. The neural pathways have not been laid down as rigidly, the brain is more plastic, and a younger person is more likely to make a better recovery than someone who is older."

Mr Powell said it was very difficult to predict how a brain injury would affect long-term function.

"A person can have a knitting needle stuck through their head and it will not have the same devastating effect on mental function as simply having the brain shaken around," he said.



Advanced options | Search tips




Back to top | BBC News Home | BBC Homepage | ©


Health Contents

Background Briefings
Medical notes

Relevant Stories

19 Apr 99 | UK
Bomb warning 'ignored'

19 Apr 99 | UK
Press line up Brixton bomb suspects

17 Apr 99 | UK
Dozens hurt in London blast

02 Mar 99 | Health
'Miracle' cap may beat brain damage

18 Feb 99 | Health
Brain operation for addicts

16 Jan 99 | Health
Lasers target brain cancer

04 Sep 98 | Health
Brain surgery by phone

13 Jul 98 | Health
Brain surgery? I'll look in the toolshed





Internet Links


Brain surgery

Brain Surgery Information Center

The Whole Brain Atlas

History of brain surgery

Great Ormond Street Hospital

National Head Injuries Association


The BBC is not responsible for the content of external internet sites.




In this section

Disability in depth

Spotlight: Bristol inquiry

Antibiotics: A fading wonder

Mental health: An overview

Alternative medicine: A growth industry

The meningitis files

Long-term care: A special report

Aids up close

From cradle to grave

NHS reforms: A guide

NHS Performance 1999

From Special Report
NHS in crisis: Special report

British Medical Association conference '99

Royal College of Nursing conference '99