J Korean Soc Traumatol.
2018 Aug;31(2):82-86. 10.20408/jti.2018.31.2.82.
Experience of Penetrating Gunshot Wound on Head in Korea
- Affiliations
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- 1Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
- 2Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea.
- 3Department of Anesthesiology, Chungbuk National University Hospital, Cheongju, Korea.
- 4Department of Orthopedic Surgery, Chungbuk National University Hospital, Cheongju, Korea.
- 5Department of Radiology, Chungbuk National University Hospital, Cheongju, Korea.
- 6Department of Thoracic Surgery, Chungbuk National University Hospital, Cheongju, Korea. nshrkim@gmail.com
- KMID: 2437267
- DOI: http://doi.org/10.20408/jti.2018.31.2.82
Abstract
- Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators.
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