Ballistic lobar trajectory outcomes in civilian firearm penetrating brain injury.

CONCLUSIONS: Patients with penetrating or perforating types of PBI associated with bitemporal or frontal-to-contralateral parietal PTs should be considered as potential donor candidates. Trauma patients with penetrating missile trajectories involving a single frontal or parietal lobe should be considered for early neurosurgical intervention, especially in the circumstances of a low GCS score (< 8). Surgeons should not base their decision-making solely on advanced patient age to defer further treatment. Patients with PBIs caused by nondeformable types of projectiles can survive multiple simultaneous intracranial missile trajectories.
PMID: 33157538 [PubMed - as supplied by publisher]

Source: Journal of Neurosurgery - November 6, 2020 Category: Neurosurgery Authors: Alexopoulos G, Quadri N, Khan M, Bazai H, Formoso Pico C, Fraser C, Kulkarni N, Kemp J, Coppens J, Bucholz R, Mercier P Tags: J Neurosurg Source Type: research