High-velocity gunshot wounds to the head: Analysis of 135 patients

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dc.contributor.authorBakir A.
dc.contributor.authorTemiz C.
dc.contributor.authorUmur S.
dc.contributor.authorAydin V.
dc.contributor.authorTorun F.
dc.date.accessioned2024-07-22T08:23:48Z
dc.date.available2024-07-22T08:23:48Z
dc.date.issued2005
dc.description.abstractHead injuries due to high-velocity missiles and shrapnel as a result of military conflicts have become a very important cause of death or severe neurological deficits. Military-type missiles have high velocities and transfer higher amounts of energy to neural tissue, compared to civil-type missiles. This physical phenomenon also causes greater neural tissue destruction. Shrapnel particles derive from blasts and cause less severe injury because of the irregular particle shape and low energy transmission. This study analyzed 135 patients with head trauma, 80 patients (59%) injured by missiles and 55 patients (41%) by shrapnel. Glasgow Coma Scale (GCS) scores at admission were 3 to 7 in 69 patients, 8 to 10 in 29 patients, and 11 to 15 in 37 patients. The most common anatomical localizations were the right frontoparietal region in 42 patients and the left frontoparietal region in 40 patients. One hundred patients (74%) were operated on immediately and 35 patients (26%) were treated conservatively in the intensive care unit. Ten of the 135 patients died (7.4%), seven from missile injury and three from shrapnel injury. In this study, we found that high mortality was associated with low GCS score at admission, presence of multilobar or skull base injuries, and involvement of ventricles. Early and aggressive surgical intervention decreased the mortality.
dc.identifier.DOI-ID10.2176/nmc.45.281
dc.identifier.issn04708105
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19690
dc.language.isoEnglish
dc.rightsAll Open Access; Gold Open Access
dc.subjectAdult
dc.subjectBrain Injuries
dc.subjectGlasgow Coma Scale
dc.subjectHead
dc.subjectHumans
dc.subjectMale
dc.subjectNeurosurgical Procedures
dc.subjectTomography, X-Ray Computed
dc.subjectWounds, Gunshot
dc.subjectadult
dc.subjectarticle
dc.subjectbrain ventricle
dc.subjectcause of death
dc.subjectconservative treatment
dc.subjectearly diagnosis
dc.subjectemergency surgery
dc.subjectenergy transfer
dc.subjectfemale
dc.subjectGlasgow coma scale
dc.subjectgunshot injury
dc.subjecthead injury
dc.subjecthuman
dc.subjectinjury scale
dc.subjectintensive care
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmilitary phenomena
dc.subjectmissile wound
dc.subjectmortality
dc.subjectneurological complication
dc.subjectpathological anatomy
dc.subjectscoring system
dc.subjectskull base fracture
dc.subjectsurgical mortality
dc.subjectvelocity
dc.titleHigh-velocity gunshot wounds to the head: Analysis of 135 patients
dc.typeArticle

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