Document Detail

Comparison of clinical outcomes between anteroposterior and lateral penetrating craniocerebral gunshot wounds.
MedLine Citation:
PMID:  15911946     Owner:  NLM     Status:  MEDLINE    
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.
Y Izci; H Kayali; M Daneyemez; T Koksel
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  22     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-24     Completed Date:  2005-07-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  409-10     Citation Subset:  IM    
Department of Neurosurgery, Maresal Cakmak Military Hospital, Erzurum, Turkey.
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MeSH Terms
Glasgow Coma Scale
Head Injuries, Penetrating / mortality,  pathology,  surgery*
Retrospective Studies
Treatment Outcome
Wounds, Gunshot / mortality,  pathology,  surgery*

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