Document Detail

Delayed intracerebral hemorrhage from an extracranial ball bullet pellet.
MedLine Citation:
PMID:  17572529     Owner:  NLM     Status:  MEDLINE    
The evaluation of superficial penetrating injuries to the face and scalp is common in the emergency department. We present a patient who presented with a ball bullet pellet to the forehead with an initially negative computerized tomographic (CT) scan of the head, who represented 18 hours later with nausea, vomiting, and mental status changes. A repeat CT scan of the head revealed intraparenchymal hemorrhage immediately posterior to the site of pellet entry. Upon review, the initial CT scan was limited by scatter artifact. In this case report, we discuss the potential for significant injury with compressed air-driven arms, the limitation of CT in the presence of metallic foreign bodies, and the significant risks associated with pediatric radiation exposure.
Eric J Nilles; David M Spiro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  23     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-18     Completed Date:  2007-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  409-11     Citation Subset:  IM    
Department of Emergency Medicine, University of Iowa Hospital and Clinics, Iowa City, IA 52242, USA.
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MeSH Terms
Cerebral Hemorrhage, Traumatic / etiology*,  radiography
Head Injuries, Penetrating / complications*,  radiography,  surgery
Treatment Outcome
Wounds, Gunshot / complications*,  radiography,  surgery

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