Y Izci1, H Kayali, M Daneyemez, T Koksel. 1. Department of Neurosurgery, Maresal Cakmak Military Hospital, Erzurum, Turkey. yusufizci@yahoo.com
Abstract
OBJECTIVE: To investigate and compare, using a retrospective clinical study, the clinical outcomes of penetrating craniocerebral gunshot wounds (PCGW) with respect to the trajectory of penetration in the axial plane. METHODS: In total, 22 patients with PCGW caused by conflict, suicide attempt, or accidental firing were included in this study. They were divided into two groups: anteroposterior and lateral. All patients underwent surgical treatment following emergency intervention. RESULTS: Of the 22 patients, 16 had anteroposterior and 6 had lateral penetrating injury. Four patients with anteroposterior and five patients with lateral injury died despite surgical treatment. Mortality rate was 25% in the anteroposterior and 83% in the lateral injury group. CONCLUSION: We found that lateral PCGW is the most devastating type of missile injury to the head.
OBJECTIVE: To investigate and compare, using a retrospective clinical study, the clinical outcomes of penetrating craniocerebral gunshot wounds (PCGW) with respect to the trajectory of penetration in the axial plane. METHODS: In total, 22 patients with PCGW caused by conflict, suicide attempt, or accidental firing were included in this study. They were divided into two groups: anteroposterior and lateral. All patients underwent surgical treatment following emergency intervention. RESULTS: Of the 22 patients, 16 had anteroposterior and 6 had lateral penetrating injury. Four patients with anteroposterior and five patients with lateral injury died despite surgical treatment. Mortality rate was 25% in the anteroposterior and 83% in the lateral injury group. CONCLUSION: We found that lateral PCGW is the most devastating type of missile injury to the head.
Authors: Amit K Reddy; Meredith S Baker; Rachel K Sobel; David A Whelan; Keith D Carter; Richard C Allen Journal: JAMA Ophthalmol Date: 2014-06 Impact factor: 7.389
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