Citation

Kessely YC, Ndortolnan A, Toudjingar FG, Ndolembai N, Li-Iyané Ouambi O, Aggad M, Berete I, Aouami A, Dobian SR, Kader N, Berret M, Traore S, Abbassi A, Assi C, Code M. World Neurosurg. 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.wneu.2022.04.001

PMID

35398577

Abstract

Firearm head injuries cause great public health concern because of their severity. They are life-threatening due to intracranial lesions and sepsis risks. This prospective study evaluates the management of the craniocerebral wound in Chad. This is an observational study conducted over a period of 65 months with 44 patients with a ballistic craniocerebral wound (BCW) of which only 7.18% were assessed by neurosurgeons with Gunshot Wound (GSW). The mean age was 30.57 ± 13 years with extremes of 2 and 60 years. The 21 to 30 age group was the most affected (31.8%). The sex ratio was 22. 63.6% of cases involved Military personnel. The average admission time was 24.95 ± 12 hours, ranging from 1 hour to 72 hours. Explosive device attacks represented 29.5% of cases of which 53.3% occurred in civilian practice. Point-blank shooting was reported in 70.5% of cases. The entry hole of the projectile was frontal in 40.9%. Intracranial sequestration of the projectile was found in 56.8%. The association of upper limb trauma was found in 9.1% of cases. Brain scans were performed in 95.5% of cases. Surgical treatment was undertaken in 68.18% of cases. The recovery process was marked by brain abscess in 6.8% of cases. Seven deaths were recorded.

Language: en

Keywords

Ballistic Craniocerebral Wound; Chad; Gunshot injuries