Gunshot injury of the brain


Authors: M. Májovský 1;  M. Häckel 2;  N. Svoboda 1;  V. Masopust 1;  Z. Šňupárek 3;  D. Netuka 1;  V. Beneš 1
Authors‘ workplace: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN – VFN Praha 1;  Katedra myslivosti a lesnické zoologie, Fakulta lesnická a dřevařská, Česká zemědělská univerzita v Praze 2;  Vojenský ústav soudního lékařství, ÚVN – VFN Praha 3
Published in: Cesk Slov Neurol N 2019; 82(6): 600-612
Category: Minimonography
doi: 10.14735/amcsnn2019600

Overview

Penetrating traumatic brain injury caused by gunshot is one of the most severe injuries. In the past, nihilism was the predominant treatment approach, and such injured patients were not considered promising. In recent years, a more active approach has been promoted by adopting damage control resuscitation measures and early surgical decompression in both a civil and military setting. In this paper, we summarise current knowledge about gunshot injuries of the brain and present a helpful understanding of this topic to neurologists, neurosurgeons, and intensivists. We discuss pathophysiology, differences between civilian and wartime injuries, and indications for surgical treatment. We specifically discuss early and late complications of gunshot wounds of the head/brain, some medico-legal issues, and blast injury.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.

Keywords:

gunshot wound to the head – penetrating brain injury – ballistics – neurosurgery


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Paediatric neurology Neurosurgery Neurology

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