Citation

Bertani R, Perret CM, Alberto Almeida Filho J, Souza LF, Góes P, Monteiro R, Paiva WS. Int. J. Burns Trauma 2019; 9(1): 19-22.

Affiliation

Division of Neurosurgery at University of Sao Paulo Medical School Sao Paulo, Brazil.

Copyright

(Copyright © 2019, e-Century Publishing)

DOI

unavailable

PMID

30911432

Abstract

Gunshot injury is the most common cause of penetrating brain injury. The in-hospital mortality for civilians with penetrating craniocerebral injury is 52-95%. There are many surgical techniques suitable for the treatment of survivors. We report a surgical technique consisting of neuronavigation guidance for wound treatment with smaller incisions and craniotomies, followed by bullet removal if feasible. We report case of a 15 year old male patient who sustained an accidental firearm injury to the occipital region, submitted to surgical treatment that consisted in a minimally invasive approach guided by neuronavigation. Immediate neurological examination showed inferior homonymous quadrantanopsia alone as a clinical finding. Patient was discharged after one week, and no complications arised in follow-up. We conclude that using neuronavigation as a tool was effective in the reported case and that minimally invasive neurosurgical techniques may be a safe and efficient option for the treatment of traumatic brain injuries caused by firearm projectiles.

Language: en

Keywords

Firearm injury; gunshot injury; neuronavigation; penetrating brain injury; traumatic brain injury