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Virella Neurosurgery Center
Expert Minimally Invasive Spine Surgery | Los Angeles - Ventura County & Santa Clarita | Anthony A. Virella, M.D., F.A.C.S.



Expert Brain & Spine Surgery


Agoura Hills Spine Center:

30300 Agoura Rd., Suite 170
Agoura Hills, CA 91301
Office: 805-449-0088
Fax: 805-449-0046

Valencia Spine Center:

24510 Town Center Dr., Ste 180
Valencia, CA 91355
Office: 661-388-5281
Fax: 805-449-0046

Palmdale Spine Center:

41210 11th St. W., Suite E
Palmdale, CA 93551
Office: 661-388-5281
Fax: 805-449-0046


End your back pain now. Call 805-449-0088
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Premier Minimally Invasive
Spine & Brain Surgeon

Diplomate, American Board of Neurological Surgery
Fellow, American College of Surgeons


Photo Album
Interesting Cases



Nail Gun Case


The patient is a 49 year old male who tried to commit suicide by nailing three large nails into his head. This patient was picked up by the California Highway Patrol for speeding and brought in to the Emergency Room with a "splitting headache" and seizures. Skull x rays reveals three 3 inch nails embedded into the patients skull and brain. He was taken to the operating room where he underwent removal of two nails by two separate supratentorial craniotomies. He was then turned into the prone position on the Mayfield headholder to undergo a third posterior fossa craniotomy for nail removal. He underwent successful removal of all three nails and had a full post operative recovery with resolution of all seizure activity and return to normal activities.

Nail Gun Case
Lateral Skull xay
Xray showing the 3 nails embedded in skull and brain.

Nail Gun Case
AP Skull xray

Nail Gun Case
Head CT
Head CT showing the nails before surgery.

Removing the nails
Removing the nails
Intraoperative photo showing Dr. Virella removing one of the nails via a craniotomy.

Intraoperative Photo
Intraoperative Photo
One of the nails being removed.

Photograph of the 3 nails after removal
Photograph of the 3 nails after removal
Intraoperative photo of all 3 nails after removal, nails noted to be 3 inches long.



End your back pain now. Call 805-449-0088
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