Does Nationality Matter for the Gunshot Brain Injury? Ten-Year Retrospective Observational Cadaveric Comparative Study for Gunshot TBI between Greece and Bulgaria.

Brain injuries, traumatic Cadaver Penetrating brain injuries Wounds, gunshot

Journal

Korean journal of neurotrauma
ISSN: 2234-8999
Titre abrégé: Korean J Neurotrauma
Pays: Korea (South)
ID NLM: 101584658

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 18 09 2018
revised: 09 04 2019
accepted: 20 09 2019
entrez: 14 11 2019
pubmed: 14 11 2019
medline: 14 11 2019
Statut: epublish

Résumé

Penetrating brain trauma (PBT) caused by gunshot is one of the most lethal traumatic brain injuries (TBIs) and its management and confrontation is of great importance. The authors searched retrospectively the archives from 2 similar autonomous laboratories of forensic science and toxicology in the Balkan peninsula for a 10-year period of time and included only fatal penetrating brain injuries. The study is conducted in 61 cadavers with gunshot PBT. All of the cadavers were victims of suicide attempt. The most common anatomical localization on the skull were the facial bones, followed by skull base, temporal and parietal bone, conducting a trajectory of the gunshot. Additional findings were atherosclerosis of the blood vessels and chronic diseases such as chronic obstructive pulmonary disease, cancer and fatty liver. PBI has a high mortality rate. There are factors and findings from the collected data differing between the 2 aforementioned nations. Either way, better preventative measures, gun control and healthcare system are highly necessary.

Identifiants

pubmed: 31720262
doi: 10.13004/kjnt.2019.15.e34
pmc: PMC6826088
doi:

Types de publication

Journal Article

Langues

eng

Pagination

95-102

Informations de copyright

Copyright © 2019 Korean Neurotraumatology Society.

Déclaration de conflit d'intérêts

Conflict of Interest: The authors have no financial conflicts of interest.

Références

Br J Neurosurg. 2016;30(2):235-9
pubmed: 26469861
Neurosurgery. 2005 Aug;57(2):293-9; discussion 293-9
pubmed: 16094158
Surg Neurol Int. 2012;3:98
pubmed: 23061014
J Emerg Trauma Shock. 2011 Jul;4(3):395-402
pubmed: 21887033
J Emerg Trauma Shock. 2013 Jul;6(3):189-94
pubmed: 23960376
World Neurosurg. 2017 Aug;104:653-659
pubmed: 28532914
Emerg Radiol. 2017 Jun;24(3):301-309
pubmed: 28091809
Emerg Med J. 2005 Jun;22(6):409-10
pubmed: 15911946
Turk Neurosurg. 2009 Jul;19(3):216-23
pubmed: 19621284
Arch Surg. 2006 Dec;141(12):1185-91; discussion 1192
pubmed: 17178960

Auteurs

Alexandrina S Nikova (AS)

Department of Neurosurgery, Democritus University of Thrace, Alexandroupolis, Greece.

Maria-Valeria Karakasi (MV)

Department of Forensic Science and Toxicology, Democritus University of Thrace, Alexandroupolis, Greece.

Pavlos Pavlidis (P)

Department of Forensic Science and Toxicology, Democritus University of Thrace, Alexandroupolis, Greece.

Theodossios Birbilis (T)

Department of Neurosurgery, Democritus University of Thrace, Alexandroupolis, Greece.

Ivaylo Dimitrov (I)

Department of Forensic Science and Toxicology, "Stamen Iliev" Regional Hospital, Montana, Bugaria.

Classifications MeSH