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https://www.readbyqxmd.com/read/27903839/the-effect-of-brain-tomography-findings-on-mortality-in-sniper-shot-head-injuries
#1
Çağdaş Can, M Bolatkale, A Sarıhan, Y Savran, A Ç Acara, M Bulut
OBJECTIVES: Penetrating gunshot head injuries have a poor prognosis and require prompt care. Brain CT is a routine component of the standard evaluation of head wounds and suspected brain injury. We aimed to investigate the effect of brain CT findings on mortality in gunshot head injury patients who were admitted to our emergency department (ED) from the Syrian Civil War. METHODS: The study group comprised patients who were admitted to the ED with gunshot brain injury...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27871133/civilian-cerebral-gunshot-wounds-a-south-african-experience
#2
Victor Kong, Jocinta Odendaal, Benn Sartorius, Damian Clarke, Petra Brysiewicz, Ellen Jerome, John Bruce, Grant Laing
BACKGROUND: Cerebral gunshot wounds represent one of the most lethal forms of traumatic brain injury, but there is a paucity of literature on the topic, especially from the developing world. We reviewed our experience and describe the spectrum and outcome of civilian cerebral gunshot wounds in a major metropolitan trauma centre in South Africa. METHODS: This was a retrospective study of all patients with isolated cerebral gunshot wounds managed by the Pietermaritzburg Metropolitan Trauma Service over a 5-year period from 2010 to 2014...
November 21, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27843239/unique-neuro-ophthalmic-presentation-of-gun-pellet-injury
#3
Reena Sharma, Sanjay Sharma, Swati Phuljhele, Rohit Saxena
We describe a unique case of orbital gunshot injury with isolated intraorbital pellets lodged symmetrically in the two apices, causing identical clinical presentation, and absence of any associated globe or cerebral injury. He developed bilateral complete third nerve palsy with bilateral traumatic optic neuropathy. The optic nerve strut prevented the pellets from going into the brain on both the sides.
September 2016: Oman Journal of Ophthalmology
https://www.readbyqxmd.com/read/27752059/klebsiella-pneumoniae-carbapenemase-producing-k-pneumoniae-kpc-kp-in-brain-and-spinal-cord-injury-patients-potential-for-prolonged-colonization
#4
N R Zembower, A Zhu, M Malczynski, C Qi
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To determine the prevalence of brain and spinal cord injury (BSCI) patients among all patients with Klebsiella pneumoniae carbapenemase-producing K. pneumoniae (KPC-KP) and to evaluate clinical characteristics and duration of colonization. SETTING: Tertiary care academic medical center. METHODS: Electronic medical records of BSCI patients with KPC-KP from February 2009 to December 2014 were reviewed to determine clinical characteristics...
October 18, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27546337/surgical-resection-for-epilepsy-following-cerebral-gun-shot-wounds
#5
Yoshua Esquenazi, Giridhar P Kalamangalam, Omotola A Hope, Sonia N Krish, Jeremy Slater, Nitin Tandon
OBJECTIVE: The surgical management of epilepsy following penetrating gunshot wounds (GSWs) to the head has not been described in the modern; era. Given the extensive damage to the cranium and cortex from such; injuries, the safety and efficacy of surgical intervention is unclear. We; report the surgical strategy and outcomes following resections for; medically refractory epilepsy following GSWs in four patients. METHODS: A prospectively compiled database of 325 epilepsy patients was used to identify patients undergoing epilepsy surgery for medically; refractory epilepsy following a GSW to the brain...
August 18, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27488491/effect-of-time-to-operation-on-mortality-for-hypotensive-patients-with-gunshot-wounds-to-the-torso-the-golden-10-minutes
#6
Jonathan P Meizoso, Juliet J Ray, Charles A Karcutskie, Casey J Allen, Tanya L Zakrison, Gerd D Pust, Tulay Koru-Sengul, Enrique Ginzburg, Louis R Pizano, Carl I Schulman, Alan S Livingstone, Kenneth G Proctor, Nicholas Namias
INTRODUCTION: Timely hemorrhage control is paramount in trauma; however, a critical time interval from emergency department arrival to operation for hypotensive gunshot wound (GSW) victims is not established. We hypothesize that delaying surgery for more than 10 minutes from arrival increases all-cause mortality in hypotensive patients with GSW. METHODS: Data of adults (n = 309) with hypotension and GSW to the torso requiring immediate operation from January 2004 to September 2013 were retrospectively reviewed...
October 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27472666/neurological-findings-in-pediatric-penetrating-head-injury-at-a-university-teaching-hospital-in-durban-south-africa-a-23-year-retrospective-study
#7
Kadhaya David Muballe, Timothy Hardcastle, Erastus Kiratu
OBJECTIVES Penetrating traumatic brain injuries (TBIs) can be divided into gunshot wounds or stab wounds based on the mechanisms of injury. Pediatric penetrating TBIs are of major concern as many parental and social factors may be involved in the causation. The authors describe the penetrating cranial injuries in pediatric patient subgroups at risk and presenting to the Department of Neurosurgery at the University of KwaZulu-Natal, by assessment of the Glasgow Coma Scale (GCS) score and review of the common neurological manifestations including cranial nerve abnormalities...
July 29, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27416716/-comparative-evaluation-of-drainage-methods-used-for-penetrating-gunshot-cerebral-injuries
#8
V P Orlov
The paper presents a comparative evaluation of the methods of gunshot craniocerebral wounds draining, applied when the primary surgical treatment at the stages of medical evacuation of the limited contingent of Soviet troops in Afghanistan. An analysis of occurring infectious complications and outcomes of surgical treatment of the wounded is given. Based on clinical observations revealed most effective method of the active drainage gunshot traumatic brain injuries. The advantages of tidal drainage, appropriate for mechanical cleaning of wounds, allows controlling hemostasis, using antibacterial solutions are given...
April 2016: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/27383839/pathophysiology-associated-with-traumatic-brain-injury-current-treatments-and-potential-novel-therapeutics
#9
Matthew L Pearn, Ingrid R Niesman, Junji Egawa, Atsushi Sawada, Angels Almenar-Queralt, Sameer B Shah, Josh L Duckworth, Brian P Head
Traumatic brain injury (TBI) is one of the leading causes of death of young people in the developed world. In the United States alone, 1.7 million traumatic events occur annually accounting for 50,000 deaths. The etiology of TBI includes traffic accidents, falls, gunshot wounds, sports, and combat-related events. TBI severity ranges from mild to severe. TBI can induce subtle changes in molecular signaling, alterations in cellular structure and function, and/or primary tissue injury, such as contusion, hemorrhage, and diffuse axonal injury...
July 6, 2016: Cellular and Molecular Neurobiology
https://www.readbyqxmd.com/read/27323322/communicating-hydrocephalus-due-to-traumatic-lumbar-spine-injury-case-report-and-literature-review
#10
Nikola Dragojlovic, Argyrios Stampas, Ryan S Kitagawa, Karl M Schmitt, William Donovan
: Hydrocephalus is a rare complication of traumatic spine injury. A literature review reflects the rare occurrence with cervical spine injury. We present a case of traumatic injury to the lumbar spine from a gunshot wound, which caused communicating hydrocephalus. The patient sustained a gunshot wound to the lumbar spine and had an L4-5 laminectomy with exploration and removal of foreign bodies. At the time of surgery, the patient was found to have dense subarachnoid hemorrhage in the spinal column. He subsequently had intermittent headaches and altered mental status that resolved without intervention...
June 17, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27315028/early-venous-thromboembolism-chemoprophylaxis-in-combat-related-penetrating-brain-injury
#11
R Michael Meyer, M Benjamin Larkin, Nicholas S Szuflita, Chris J Neal, Jeffrey M Tomlin, Rocco A Armonda, Jeffrey A Bailey, Randy S Bell
OBJECTIVE Traumatic brain injury (TBI) is independently associated with deep vein thrombosis (DVT) and pulmonary embolism (PE). Given the numerous studies of civilian closed-head injury, the Brain Trauma Foundation recommends venous thromboembolism chemoprophylaxis (VTC) after severe TBI. No studies have specifically examined this practice in penetrating brain injury (PBI). Therefore, the authors examined the safety and effectiveness of early VTC after PBI with respect to worsening intracranial hemorrhage and DVT or PE...
June 17, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27169063/management-of-craniocerebral-gunshot-injuries-a-review
#12
REVIEW
Hernando Raphael Alvis-Miranda, Roberto Adie Villafañe, Alejandro Rojas, Gabriel Alcala-Cerra, Luis Rafael Moscote-Salazar
Craniocerebral gunshot injuries (CGI) are increasingly encountered by neurosurgeons in civilian and urban settings. Unfortunately this is a prevalent condition in developing countries, with major armed conflicts which is not very likely to achieve a high rate of prevention. Management goals should focus on early aggressive, vigorous resuscitation and correction of coagulopathy; those with stable vital signs undergo brain computed tomography scan. Neuroimaging is vital for surgical purposes, especially for determine type surgery, size and location of the approach, route of extraction of the foreign body; however not always surgical management is indicated, there is also the not uncommon decision to choose non-surgical management...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27165750/a-rare-remarkable-recovery-in-a-pediatric-patient-with-the-bi-hemispheric-transventricular-trajectory-craniocerebral-gunshot-wound
#13
Ninh Doan, Mohit Patel, Ha Son Nguyen, Andrew Montoure, Saman Shabani, Michael Gelsomino, Karl Janich, Wade Mueller
The gunshot wound to the head (GSWH) is associated with a mortality rate of 20-90% in adults and 20-65% in the pediatric population. Due to the high rates of mortality and morbidity, the management of these patients has been a topic of high interest in the neurosurgical community. We present an 18-year-old male suffering a GSWH with the bullet following a transventricular trajectory and crossing the midsagittal plane, creating extensive intracranial injuries. Despite a calculated mortality rate of >97% from these devastating injuries, the patient survived the GSWH and made a remarkable recovery...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27072332/treatment-of-penetrating-nonmissile-traumatic-brain-injury-case-series-and-review-of-the-literature
#14
REVIEW
Stephanie Zyck, Gentian Toshkezi, Satish Krishnamurthy, David A Carter, Adnan Siddiqui, Ali Hazama, Mayur Jayarao, Lawrence Chin
INTRODUCTION: Penetrating traumatic brain injuries (TBIs), with the exception of gunshot wounds, are relatively rare occurrences and affect all ages. Clinical presentation varies depending on the mechanism of the injury. Prompt surgical treatment is often indicated and is influenced by patient clinical examination, anatomic trajectory, and the penetrating object's size, shape, and velocity. METHODS: We present 3 cases of penetrating TBI. Their similarities and differences affecting operative and medical management are compared...
July 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27070263/-guidelines-for-the-management-of-severe-traumatic-brain-injury-part-3-surgical-management-of-severe-traumatic-brain-injury-options
#15
REVIEW
A A Potapov, V V Krylov, A G Gavrilov, A D Kravchuk, L B Likhterman, S S Petrikov, A E Talypov, N E Zakharova, A A Solodov
Traumatic brain injury (TBI) is one of the main causes of mortality and severe disability in young and middle age patients. Patients with severe TBI, who are in coma, are of particular concern. Adequate diagnosis of primary brain injuries and timely prevention and treatment of secondary injury mechanisms markedly affect the possibility of reducing mortality and severe disability. The present guidelines are based on the authors' experience in developing international and national recommendations for the diagnosis and treatment of mild TBI, penetrating gunshot wounds of the skull and brain, severe TBI, and severe consequences of brain injury, including a vegetative state...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27029336/-guidelines-for-the-diagnosis-and-treatment-of-severe-traumatic-brain-injury-part-2-intensive-care-and-neuromonitoring
#16
REVIEW
A A Potapov, V V Krylov, A G Gavrilov, A D Kravchuk, L B Likhterman, S S Petrikov, A E Talypov, N E Zakharova, A V Oshorov, A A Sychev, E V Aleksandrova, A A Solodov
Traumatic brain injury (TBI) is one of the major causes of death and disability in young and middle-aged people. The most problematic group is comprised of patients with severe TBI who are in a coma. The adequate diagnosis of primary brain injuries and timely prevention and treatment of the secondary injury mechanisms largely define the possibility of reducing mortality and severe disabling consequences. When developing these guidelines, we used our experience in the development of international and national recommendations for the diagnosis and treatment of mild traumatic brain injury, penetrating gunshot wounds to the skull and brain, severe traumatic brain injury, and severe consequences of brain injuries, including a vegetative state...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/26977800/-guidelines-for-the-management-of-severe-head-injury-part-1-neurotrauma-system-and-neuroimaging
#17
A A Potapov, V V Krylov, A G Gavrilov, A D Kravchuk, L B Likhterman, S S Petrikov, A E Talypov, N E Zakharova, A V Oshorov, A A Solodov
Traumatic brain injury is one of the main causes of mortality and disability in young and middle-aged individuals. The patients with severe traumatic brain injury who are in coma are the most difficult to deal with. Appropriate diagnosis of the primary brain injuries and early prevention and treatment of secondary damage mechanisms largely determine the possibility of reducing mortality and severe disabling consequences. The authors compiled these guidelines based on their experience in development of international and Russian recommendations on the diagnosis and treatment of mild traumatic brain injury, penetrating gunshot injury of the skull and brain, severe traumatic brain injury, and severe consequences of brain injuries, including a vegetative state...
2015: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/26728100/pediatric-intracranial-gunshot-wounds-the-memphis-experience
#18
Michael DeCuypere, Michael S Muhlbauer, Frederick A Boop, Paul Klimo
OBJECTIVE Penetrating brain injury in civilians is much less common than blunt brain injury but is more severe overall. Gunshot wounds (GSWs) cause high morbidity and mortality related to penetrating brain injury; however, there are few reports on the management and outcome of intracranial GSWs in children. The goals of this study were to identify clinical and radiological factors predictive for death in children and to externally validate a recently proposed pediatric prognostic scale. METHODS The authors conducted a retrospective review of penetrating, isolated GSWs sustained in children whose ages ranged from birth to 18 years and who were treated at 2 major metropolitan Level 1 trauma centers from 1996 through 2013...
May 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/26707324/suitability-of-corneal-tissue-for-transplantation-derived-from-violent-death-a-10-year-analysis
#19
T L Sampaio, I P Rodrigues, D F S Pontes, T K G Ribeiro, C K Yamagushi, W N de Araújo, S N Báo
Trauma is a leading cause of death and disability worldwide. Corneal tissue donors generally are those who suffered an injury to the brain or fatal trauma caused by stroke, vehicle/motorbike accidents, gunshot wounds, and drowning or cardiovascular death. In Brazil, the Distrito Federal (DF) Eye Bank, located within a trauma center hospital, and the Secretariat of Public Security have collaborated with the aim of increasing the overall number of cornea donations from fatal trauma victims. The purpose of this study was to determine the suitability of cornea tissue for transplantation derived from trauma-related death...
December 2015: Transplantation Proceedings
https://www.readbyqxmd.com/read/26557480/therapeutic-temperature-modulation-is-associated-with-pulmonary-complications-in-patients-with-severe-traumatic-brain-injury
#20
Kristine H O'Phelan, Amedeo Merenda, Katherine G Denny, Kassandra E Zaila, Cynthia Gonzalez
AIM: To examine complications associated with the use of therapeutic temperature modulation (mild hypothermia and normothermia) in patients with severe traumatic brain injury (TBI). METHODS: One hundred and fourteen charts were reviewed. Inclusion criteria were: severe TBI with Glasgow Coma Scale (GCS) < 9, intensive care unit (ICU) stay > 24 h and non-penetrating TBI. Patients were divided into two cohorts: the treatment group received therapeutic temperature modulation (TTM) with continuous surface cooling and indwelling bladder temperature probes...
November 4, 2015: World Journal of Critical Care Medicine
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