Craniocerebral gunshot injuries in children

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Marc D CoughlanJonathan C Peter

Abstract

Despite the worldwide increase in the incidence of gunshot injuries, there are few large published series on craniocerebral gunshot injuries in children. The records of 30 consecutive children who were treated for craniocerebral gunshot injuries at the Red Cross War Memorial Children's Hospital from 1989 to 2002 were reviewed retrospectively. The circumstances of the injury, clinical status, CT findings, complications, and outcome were assessed. The median age was 7 years. Seventy-seven percent of the victims were boys. The majority of the children were injured in the crossfire of civilian violence. The initial management consisted of debridement under local anesthesia in 16 children and neurosurgical procedures under general anesthesia were performed in 14. Sixteen children sustained transhemispheric injuries, 5 bihemispheric injuries, 5 tangential injuries, and 4 transventricular injuries. All 3 children with a GCS <4 died within 72 h of admission. Three of the 7 children with GCS 4-7 died but there were no deaths in those children whose GCS was >7 post-resuscitation. Motor deficits, cranial nerve palsies, and visual field defects were very common. Early post-traumatic seizures were the commonest complication (18%). Children ...Continue Reading

Citations

Sep 19, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Furqan B IrfanEhsan Bari
Jan 1, 2012·Journal of Surgical Case Reports·Cb DabdoubH Azevedo-Filho
Jun 12, 2012·Journal of Neurosurgery. Pediatrics·Pepijn van den MunckhofW Peter Vandertop
Nov 23, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M HachemiF Artru
Oct 16, 2015·British Journal of Neurosurgery·José D CharryP David Adelson
Jan 6, 2016·Journal of Neurosurgery. Pediatrics·Michael DeCuyperePaul Klimo
Jun 8, 2018·Journal of Neurotrauma·Georgios A MaragkosAristotelis S Filippidis
May 26, 2017·Journal of Neurosurgical Anesthesiology·Marco MikhaelMaria Cristancho
Aug 29, 2018·Journal of Neonatal-perinatal Medicine·T PhamI Chandrasekar
Aug 7, 2020·The Journal of Trauma and Acute Care Surgery·Taylor DudaSunjay Sharma

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