@article{ref1,
title="Intrauterine penetrating direct fetal head trauma following gunshot injury: a case report and review of the literature",
journal="Child's nervous system",
year="2006",
author="Muzumdar, Dattatraya and Higgins, Michael J. and Ventureyra, Enrique C. G.",
volume="22",
number="4",
pages="398-402",
abstract="CASE REPORT: An unusual case of an intrauterine penetrating head injury due to a pellet from an airgun is described. A 28-year-old pregnant woman, at term, shot herself intravaginally with a toy BB gun. Following a spontaneous precipitous vaginal delivery, the neonate presented with persistent seizure disorder, meningitis, cerebritis, and a right parietal region scalp swelling. Imaging studies revealed intracranial hemorrhage, and the metallic pellet was adjacent to the right lateral ventricle, which was removed through a parietal craniotomy. Computed tomography of the brain after 1 week demonstrated early abscess formation in the left frontal operculum and a subdural empyema in the posterior fossa. The abscesses were evacuated, and the meningitis was treated vigorously with broad-spectrum antibiotics. Although well for the past 6 years, the child demonstrates significant mental handicap and developmental delay. DISCUSSION: The pathogenesis, management, and medicolegal issues pertaining to the above case are discussed, and the relevant literature is briefly reviewed.<p /> <p>Language: en</p>",
language="en",
issn="0256-7040",
doi="10.1007/s00381-005-1200-y",
url="http://dx.doi.org/10.1007/s00381-005-1200-y"
}