Novel Use of an Image-Guided Stereotactic Approach in Trauma for Localization of Transcranial Bullet
| Autor: | Robert E. Germann, Dat T. Vo, George F. Cravens |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Poor prognosis
medicine.medical_specialty gunshot wound image-guided surgery Neurosurgery 03 medical and health sciences 0302 clinical medicine Hematoma Medicine In patient Stereotactic neurosurgery Intracranial pressure business.industry General Engineering computed tomography medicine.disease Surgery Image-guided surgery 030220 oncology & carcinogenesis penetrating brain injury Emergency Medicine Good prognosis Gunshot wound business stereotactic neurosurgery 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.1501 |
| Popis: | Penetrating brain injuries from gunshot wounds can carry a poor prognosis and require an aggressive, multifaceted approach to obtain a good prognosis and outcome. An initial evaluation requires appropriate imaging studies followed by management and prophylaxis against increased intracranial pressure, infection, and seizures. Surgical management is then followed to ensure the watertight closure of any wounds, removal of any areas of hematoma, and removal of any potential areas of infection. In this paper, we report the case of a patient who presented with a self-inflicted gunshot wound to the head and then received aggressive medical and surgical management. This case presents that an image-guided stereotactic approach with suitable medical management should be used in patients with penetrating missile injuries to the head. |
| Databáze: | OpenAIRE |
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