our experience as a result of this war shows that early intubation, aggressive resuscitation and gcs score are important factors for survival. the time of arrival has great importance on mortality. despite the diversity of views in the literature, patients with gcs of 4 and above should be operated if surgical pathologies exist, and decompressive craniectomy must made wide. if duraplasty is nec...

Spontaneous migration of retained bullets in the brain is a recognized rare complication of penetrating cranial gunshot wounds to the brain. The authors report one rare case in a 55-year old male patient who presented with a penetrating cranial gunshot wound and a retained bullet. He had a dense right hemiplegia and expressive aphasia on admission. Skull x-ray confirmed the retained intracrania...

OBJECTIVE Toward the end of 2010, the Arab spring, the waves of revolutionary demonstrations and protests influenced also Syria, where violent clashes turned into a civil war. Hundreds of thousands of people became refugees. The use of excessive force unfortunately culminated in numerous deaths and injuries in many cities. Being the closest city to Aleppo, Damascus and Homs, the biggest cities ...

INTRODUCTION Civilian penetrating gunshot injuries to the neurocranium are no longer uncommon in Nigeria. Such injuries are however poorly reported. They are associated with poor outcome and, at close range, are frequently fatal, especially when inflicted by high-velocity weapons. Prompt transfer to neurosurgical service and urgent intervention may improve outcome in those that are not mortally...

The purpose of this study was to analyze changing etiologies for admission to a spinal cord injury center. This study was designed to retrospectively analyze the etiology of admissions to a spinal cord injury center during a 15-year period, specifically gunshot versus nongunshot wound injuries. Gunshot wounds are a well-recognized cause of spinal cord injury. In some centers, up to 52% of admis...

Firearm injuries are regarded as a special form of blunt trauma. The damage to the organism is caused by the impact of a single projectile (or a multitude of pellets) propelled from a barrel by high-pressure combustion gases and striking the body at a high velocity. Gunshot wounds, in a broader sense, are also lesions caused by blank-cartridge weapons as well as injuries due to livestock stunne...

background prehospital management of gunshot-wounded (gw) patients influences injury-induced morbidity and mortality. objectives to evaluate prehospital management to gw patients emphasizing the protocol of patient transfer to appropriate centers. patients and methods this prospective study, included all gw patients referred to four major, level-i hospitals in mashhad, iran. we evaluated demogr...

The presence at CT scan of more retained bullets than expected could be a very difficult interpretation challenge in the early management of gunshot wounds. The modern non operative management of haemodinamically stable patients without peritonitis requires that the trajectory of the bullet is clearly recognized. This clinical case reporting of a gunshot wound without evident entry hole, allows...