Cranial gun shot injuries

Cranial gun shot injuries are a form of penetrating traumatic brain injuries, which are much less common than blunt traumatic brain injuries. 

Please see the main article "imaging of gun shot injuries" for a general description of imaging features. 


The entry and exit wounds can be identified paying attention to the bone “beveling”. An inward beveling of the inner skull table is supportive of the entry wound, whereas the outward beveling of outer skull table suggests the exit wound. Often there is not an exit wound, especially in incomplete metal jacket bullets (e.g. hollow point tip) that are designed to fragment and lose kinetic energy along their path 1

Unsurprisingly, mortality is high. In civilian shootings, approximately 20% survive the initial injury, and of those ~50% (range 30-68%) survive 2

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Article Information

rID: 41967
Section: Gamuts
Synonyms or Alternate Spellings:
  • Gun shot injury to the head
  • Gunshot injury to the head
  • Cranial gunshot injury

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    Case 5: old cranial gunshot injury
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