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