BB Gunshot Wound to the Head

Santiago-Dieppa, David R; Brandel, Michael G.; Levy, Michael L.; Gonda, David

doi:10.1016/j.jpeds.2019.02.003

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Among these, intracranial injuries occurred in 94 cases (9.1%) [4]. Eye penetration and visual loss are common, but convexity skull fracture with intracranial injury can also occur, especially in young children [1,[4][5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

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Airgun Wound with Superior Sagittal Sinus Involvement in a Child: Case Report and Review of the Literature

et al. 2021

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Introduction: Although still considered quite harmless, nonpowder guns (NPG) may cause severe head injuries in children. We present the case of a depressed skull fracture with superior sagittal sinus involvement following NPG injury. Decision-making and surgical management are discussed, and the current literature concerning NPG-related pediatric head injuries is reviewed. Case Presentation: A 4-year-old boy hit by a compressed-air rifle came to our center. CT scan showed a depressed skull fracture of the occipital bone on the midline and intracranial penetration of some fragments of the pellet. CT angiography documented a compression of the superior sagittal sinus without thrombosis. Soon after hospital admission, the patient showed deterioration of the neurological status suggesting intracranial hypertension. Surgery was performed with fracture elevation, removal of metal fragments, and wound debridement. The patient had a full recovery without subsequent neurological deficits. Discussion/Conclusion: Modern airguns may produce severe penetrating head injuries in children. Parents and physicians should be aware of the danger of NPG. Depressed skull fracture and dural venous sinus involvement can occur, and even a stable neurological condition may worsen. In such instances, a thorough preoperative assessment including vascular imaging is mandatory. The surgical risk is not negligible due to the possible injury of the sinus wall and subsequent intraoperative bleeding. This has to be weighted against potential complications of the penetrating injury, such as infection, sinus thrombosis, and intracranial hypertension. Our case suggests that prompt surgical treatment can be a safe and effective option.

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Section: Discussionmentioning

confidence: 99%

“…Likewise, other cases of pediatric intracranial NPG injury with favorable outcomes have been described, especially in the absence of involvement of the ventricles or deep critical structures [9]. Conversely, deep and bihemispheric projectile trajectory has been associated with catastrophic clinical course and death [12].…”

Section: Discussionmentioning

confidence: 99%

Airgun Wound with Superior Sagittal Sinus Involvement in a Child: Case Report and Review of the Literature

et al. 2021

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Section: Introductionmentioning

confidence: 99%

“…2 The fact that nonballistic firearm muzzle velocities can surpass that of a 0.22-caliber handgun and approach those of low-powered traditional powder-based firearms is a concern to public safety due to their widespread use. 1,3 Currently, there are only 24 states that carry any restriction on the sale of nonballistic firearms. 4 In this cross-sectional study, the epidemiology of pediatric upper extremity injuries secondary to nonballistic firearm (BB or pellet guns) trauma was explored using the US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Pediatric Nonballistic Firearm Injuries to the Upper Extremity in the United States From 2000 to 2017

Summers

Cheema

Pirruccio

et al. 2020

Hand (New York, N,Y.)

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Background: This study aimed to describe the epidemiology of pediatric upper extremity injury secondary to nonballistic firearms in the United States. Methods: The National Electronic Injury Surveillance Survey (NEISS) database was queried between 2000 and 2017 for injuries to the upper extremity from nonballistic firearms in patients aged ≤18 years. In total, 1502 unique cases were identified. Using input parameters intrinsic to the NEISS database, national weighted estimates were derived using Stata/IC 15.1 statistical software (StataCorp LLC, College Station, Texas), which yielded an estimate of 52 118 cases of nonballistic firearm trauma to the upper extremity who presented to US emergency departments over the study period. Descriptive statistics were performed using NEISS parameters. Results: An average of 2895 annual pediatric upper extremity nonballistic firearm injuries were identified between 2000 and 2017. Over 91% were sustained by men, and adolescents aged 12 to 18 were the most commonly injured (69.8%). Only 3.5% of all injuries required inpatient admission, and the most common sites of injury were the hand (41.1%), followed by fingers (35.9%). Conclusions: We conclude that nonballistic firearm injuries represent a significant burden of disease to adolescent men in the United States.

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Penetrating Craniocerebral Injury in Pediatric Patients

Plonsker¹,

Brandel²,

Khan³

et al. 2022

Frontiers in Traumatic Brain Injury

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Penetrating head trauma is rare in the pediatric population, and rarer still in the civilian pediatric population. The high rehabilitation potential of children and the higher likelihood of a low-velocity, survivable injury necessitates careful management to minimize morbidity due to secondary injury from ischemia or infection. Management of penetrating injuries includes patient stabilization, appropriate imaging, and if surgery is needed, entry/exit site debridement with dural closure to prevent cerebrospinal fluid leak. Post-operative care includes infection prevention, intracerebral pressure management, and early identification of vasospasm and pseudoaneurysm formation.

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BB Gunshot Wound to the Head

Cited by 3 publications

References 8 publications

Airgun Wound with Superior Sagittal Sinus Involvement in a Child: Case Report and Review of the Literature

Airgun Wound with Superior Sagittal Sinus Involvement in a Child: Case Report and Review of the Literature

Epidemiology of Pediatric Nonballistic Firearm Injuries to the Upper Extremity in the United States From 2000 to 2017

Penetrating Craniocerebral Injury in Pediatric Patients

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