A case of surgical treatment of a penetrating blunt diametric gunshot brain wound





penetrating brain injury, diametric injury, diametric wound, surgical treatment


A metal fragment passed through the left frontal bone causing a penetrating fracture and further through the right and left hemispheres. The metal fragment hit the contralateral inner plate of the frontal bone and rebounded into the brain. Brain injury was also caused by secondary wounding objects such as bone debris that penetrated into the opposite hemisphere 6.7–7.2 cm deep from the inner bone plate at the entrance wound.

The patient underwent an extended initial surgical brain wound debridement, which included entrance wound management, bilateral craniotomy, subdural hematoma and cerebral detritus removal, radical multiple bone debris and metal fragment removal, and tidal brain wound drainage.

The neurosurgery was performed to the full extent, which promptly aided the patient’s recovery and helped prevent postoperative complications. New data were discovered about how bone debris spread in the brain in case of a gunshot injury.

Author Biography

Andriy Sirko, Dnеpropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk

Neurology and Neurosurgery Department; 2nd Cerebral Neurosurgery Department


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How to Cite

Sirko, A. (2015). A case of surgical treatment of a penetrating blunt diametric gunshot brain wound. Ukrainian Neurosurgical Journal, (4), 61–65. https://doi.org/10.25305/unj.55965



Case Report