Cranial gunshot injury

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Seizures. History of old cranial gunshot injury.

Patient Data

Age: 35 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial bone
window
This study is a stack
3D VR bone
window
Download
Info

CT soft tissue window. The hypodense track of encephalomalacia delineates the bullet track with a large intracranial left frontal bone fragment.

Bone window demonstrates internal beveling at the entry site at the left posterior parietal calvarial bone with the exit site seen at the left frontal calvarial bone. 

Annotated image
Show annotations
Download
Info

First image: bevelled bullet entry at the left posterior parietal bone.

Second image: larger bullet exit at the left frontal bone.

Third image: bullet track.

Case Discussion

The patient suffers from the remote sequelae of a former cranial gunshot injury.

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

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.