Home > Journals > Journal of Neurosurgical Sciences > Past Issues > Journal of Neurosurgical Sciences 1998 December;42(4) > Journal of Neurosurgical Sciences 1998 December;42(4):227-32

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

JOURNAL OF NEUROSURGICAL SCIENCES

A Journal on Neurosurgery


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,651


eTOC

 

CASE REPORTS  


Journal of Neurosurgical Sciences 1998 December;42(4):227-32

language: English

Civilian gun­shot ­wounds to ­the ­head ­with ­brain ­stem local­iza­tion. A ­case ­report

Verlicchi A. 1, Facchin P. 2, Zanotti B. 3

1 Neurological Clinic, University of Bologna, Italy;
2 Division of Neurosurgery, Udine Hospital, Udine, Italy;
3 Department of Neurosurgery, Verona, Italy


PDF  


The ­authors ­present a ­case of a ­patient wound­ed to ­the ­head ­and ­back by civil­ian fire­arm pro­jec­tiles. The ­case pecu­liar­ity is ­that ­only ­one bul­let ­reached ­the ­brain ­stem lev­el caus­ing sig­nif­i­cant neu­ro­log­i­cal def­i­cits. The ­final clin­i­cal pic­ture is com­par­able to ­the “cau­dal pon­tine teg­men­tum syn­drome”. The ­authors ­describe ­both ­the bul­let ­path ­and ­the intra­cra­ni­al local­iza­tion tak­ing ­into ­account bal­lis­tic ­details. The prob­lems asso­ciat­ed ­with prog­no­sis, diag­no­sis, ­and treat­ment ­for gun­shot ­wounds ­are dis­cussed. In addi­tion, ­the ­authors ­explain ­the ­main intra­cra­ni­al ­lesions ­and ­their mech­a­nisms, ­the ­role of inves­ti­ga­tion, ­and ­the pro­to­col of med­i­cal ­and sur­gi­cal treat­ment. Lastly, a system­at­ic ­approach ­for treat­ing ­these ­types of gun­shot ­wounds is out­lined.

top of page

Publication History

Cite this article as

Corresponding author e-mail