[Penetrating gunshot injuries to the head and brain. Diagnosis, management and prognosis]. 2007

C A Kühne, and R P Zettl, and B Baume, and F M Vogt, and G Taeger, and S Ruchholtz, and D Stolke, and D Nast-Kolb
Klinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122 , Essen, Germany. christian.kuehne@uni-essen.de

Gunshot injuries to the head and brain are rare in Germany and the rest of western Europe. With the relatively low number of these injuries here, there are no standard methods of diagnosis and management, and there is some controversy over both. Quite a high proportion of such injuries result from suicide attempts and accidents. The main diagnostic procedure available is computed tomography of the head with contrast medium; in certain cases MRI is indicated. The operative management depends on the extent and prognosis of the injury; a ventricular drain is probably indicated in most cases. Debridement of the bullet's path and removal of the projectile are more controversial. Mortality is extremely high after such injuries; if the victim does survive the prognosis is comparable to that following closed cranial injuries.

UI MeSH Term Description Entries
D010818 Practice Patterns, Physicians' Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided. Clinical Practice Patterns,Physician's Practice Patterns,Clinical Practice Pattern,Pattern, Clinical Practice,Patterns, Clinical Practice,Practice Pattern, Clinical,Practice Patterns, Clinical,Practice Patterns, Physician's,Prescribing Patterns, Physician,Physician Practice Patterns,Physician Prescribing Pattern,Physician Prescribing Patterns,Physician's Practice Pattern,Physicians' Practice Pattern,Physicians' Practice Patterns,Practice Pattern, Physician's,Practice Pattern, Physicians',Practice Patterns, Physician,Prescribing Pattern, Physician
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014948 Wounds, Gunshot Disruption of structural continuity of the body as a result of the discharge of firearms. Gunshot Wound,Gunshot Wounds,Wound, Gunshot
D017410 Practice Guidelines as Topic Works about directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery. Clinical Guidelines as Topic,Best Practices,Best Practice
D020197 Head Injuries, Penetrating Head injuries which feature compromise of the skull and dura mater. These may result from gunshot wounds (WOUNDS, GUNSHOT), stab wounds (WOUNDS, STAB), and other forms of trauma. Brain Injuries, Penetrating,Cranial Trauma, Penetrating,Craniocerebral Trauma, Penetrating,Missile Injuries, Penetrating, Head,Head Injuries, Penetrating, Missile,Head Injury, Penetrating,Head Trauma, Penetrating,Penetrating Missile Injuries, Head,Brain Injury, Penetrating,Cranial Traumas, Penetrating,Craniocerebral Traumas, Penetrating,Head Traumas, Penetrating,Injuries, Penetrating Head,Injury, Penetrating Head,Penetrating Brain Injuries,Penetrating Brain Injury,Penetrating Cranial Trauma,Penetrating Cranial Traumas,Penetrating Craniocerebral Trauma,Penetrating Craniocerebral Traumas,Penetrating Head Injuries,Penetrating Head Injury,Penetrating Head Trauma,Penetrating Head Traumas,Trauma, Penetrating Cranial,Trauma, Penetrating Craniocerebral,Trauma, Penetrating Head,Traumas, Penetrating Cranial,Traumas, Penetrating Craniocerebral,Traumas, Penetrating Head

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