Tangential cranial gunshot wound in an infant in historical context: illustrative case.

cranial firearm gunshot infant subdural hematoma tangential

Journal

Journal of neurosurgery. Case lessons
ISSN: 2694-1902
Titre abrégé: J Neurosurg Case Lessons
Pays: United States
ID NLM: 9918227275606676

Informations de publication

Date de publication:
14 Mar 2022
Historique:
received: 05 01 2022
accepted: 02 02 2022
entrez: 9 10 2022
pubmed: 10 10 2022
medline: 10 10 2022
Statut: epublish

Résumé

Military neurosurgeons have long known that tangential cranial gunshot wounds can be associated with intracranial complications out of proportion to the external appearance of the injury. This phenomenon seems not to have been described in infancy. An infant suffered a massive, acute subdural hemorrhage from a contralateral tangential gunshot wound that did not facture the skull. Similar to adults, infants are subject to catastrophic intracranial injury from gunshots that do not penetrate the skull. The nature of the injury in this case reflected distinctive aspects of the tissue characteristics and proportions of the infant head.

Sections du résumé

BACKGROUND BACKGROUND
Military neurosurgeons have long known that tangential cranial gunshot wounds can be associated with intracranial complications out of proportion to the external appearance of the injury. This phenomenon seems not to have been described in infancy.
OBSERVATIONS METHODS
An infant suffered a massive, acute subdural hemorrhage from a contralateral tangential gunshot wound that did not facture the skull.
LESSONS CONCLUSIONS
Similar to adults, infants are subject to catastrophic intracranial injury from gunshots that do not penetrate the skull. The nature of the injury in this case reflected distinctive aspects of the tissue characteristics and proportions of the infant head.

Identifiants

pubmed: 36209403
doi: 10.3171/CASE227
pii: CASE227
pmc: PMC9379624
doi:
pii:

Types de publication

Journal Article

Langues

eng

Références

J Trauma Acute Care Surg. 2020 Mar;88(3):402-407
pubmed: 31895332
Pediatrics. 2021 Apr;147(4):
pubmed: 33782104
Am J Dis Child. 1990 Jun;144(6):724-6
pubmed: 2346156
Pediatrics. 2017 Oct;140(4):
pubmed: 28970344
Neurosurgery. 1993 Dec;33(6):1018-24; discussion 1024-5
pubmed: 8133986
Acad Emerg Med. 2017 Jul;24(7):803-813
pubmed: 28423460
N Engl J Med. 2018 Dec 20;379(25):2468-2475
pubmed: 30575483
Am J Emerg Med. 2012 Nov;30(9):2089.e5-7
pubmed: 22386344
Br Med J. 1915 Oct 2;2(2857):498-500
pubmed: 20767836
Pediatr Radiol. 2015 Nov;45(12):1803-13
pubmed: 26150078
Pediatrics. 2004 Jun;113(6):1686-92
pubmed: 15173492
J Neurosurg Pediatr. 2019 Sep 6;:1-11
pubmed: 31491751
Childs Brain. 1983;10(4):229-41
pubmed: 6884125
J Trauma. 1996 Jan;40(1):57-60
pubmed: 8577000
Neurosurgery. 1989 Apr;24(4):536-40
pubmed: 2710298
Childs Nerv Syst. 2003 Jun;19(5-6):348-52
pubmed: 12768317
Acad Emerg Med. 1998 Jul;5(7):672-8
pubmed: 9678390
Forensic Sci Int. 2003 Mar 27;132(2):93-8
pubmed: 12711187
Neurotrauma Rep. 2021 May 26;2(1):224-231
pubmed: 34223553
J Neurosurg Pediatr. 2012 Dec;10(6):511-7
pubmed: 23020154
J Neurosurg. 1987 Mar;66(3):409-15
pubmed: 3819836
Br J Surg. 1956 May;43(182):628-32
pubmed: 13342426
Brain. 1945 Jun;68:79-97
pubmed: 21010584
Eur J Radiol. 2014 Mar;83(3):584-8
pubmed: 24360233
J Neurosurg. 1970 Jun;32(6):642-6
pubmed: 5445454
Pediatrics. 2006 May;117(5):e1039-44
pubmed: 16651283
J Neurosurg. 1952 Sep;9(5):472-83
pubmed: 12981569
Neurosurgery. 1990 Jan;26(1):20-4; discussion 24-5
pubmed: 2294474
Inj Epidemiol. 2018 Oct 15;5(1):38
pubmed: 30318556

Auteurs

Jeffrey Campbell (J)

1Division of Neurosurgery, Nemours Children's Hospital Delaware, Wilmington, Delaware; and.
Departments of2Neurological Surgery and.
3Pediatrics, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Joseph Piatt (J)

1Division of Neurosurgery, Nemours Children's Hospital Delaware, Wilmington, Delaware; and.
Departments of2Neurological Surgery and.
3Pediatrics, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Classifications MeSH