Penetrating orbitocranial gunshot injuries

Cerebrovascular complications of transorbital penetrating intracranial injuries

“…As a matter of fact, in a series of 35 patients with penetrating orbitocranial gunshot injuries, no vascular injury has been noted. [23] In another study reviewing non-missile orbitocranial penetrations, only one case of a CCF and no aneurysms have been found. [24] Turbin et al reviewed all cases of low-velocity TIPIs from 1980 to 2002 and could not find any traumatic aneurysms in the literature.…”

An Unusual Penetrating Craniocerebral Injury Due To Landmine Explosion: A Case Report

“…Cranial CT scan is the most valuable method for obtaining detailed information about the injury, such as foreign body location and its relation to the adjacent structures, and for detecting metallic bodies and bone fragments as small as 0.06 mm 3 . [5] The CT scan can also identify the extension of the lesion and presence of hematoma and/or other associated lesions, determine the missile track and provide useful information for the planning of the surgical procedure; it usually helps to define the prognosis.…”

“…Therefore, its use in gunshot injuries is limited. [1,3] Some authors have suggested aggressive intracranial debridement in an effort to locate and remove all in-driven intraparenchymal bone and metal fragments. [2,13] However, this aggressive procedure may be associated with severe neurological deficit.…”

“…[1,12] Intracerebral infection, CSF fistula, epileptic seizures, and loss of mental and motor function due to severe damage to the brain parenchyma are the common complications. [1,[3][4][5][6]15] Among them, infection is the most important complication. Rish et al [16] suggested that intracranial infection is the most common complication of penetrating missile injuries to the brain.…”

“…[1] Aggressive and urgent surgical approaches can be lifesaving. [1][2][3] The reported complications in these types of penetrating craniocerebral injuries, including those caused by landmines, include intracerebral hematoma, intracerebral infection, cerebrospinal fluid (CSF) fistula, epileptic seizures, and loss of mental and motor function. [1,[3][4][5][6] We present herein a 20-year-old male with a penetrating intracerebral giant shrapnel injury due to landmine.…”