Cranial gunshot injury

Case contributed by Dr Dalia Ibrahim

Presentation

History of old cranial gunshot injury. Now the patient complains of seizures.

Patient Data

Age: 35 years
Gender: Male
CT

CT soft tissue window. The hypodense track of encephalomalcia 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

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

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Case information

rID: 48202
Case created: 24th Sep 2016
Last edited: 18th Oct 2016
Inclusion in quiz mode: Included

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