Experience of Penetrating Gunshot Wound on Head in Korea
Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indef...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2018-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-31-082.pdf |
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| author | Hong Rye Kim Seung Je Go Young Hoon Sul Jin Bong Ye Jin Young Lee Jung Hee Choi Seoung Myoung Choi Yook Kim Su Young Yoon |
| author_facet | Hong Rye Kim Seung Je Go Young Hoon Sul Jin Bong Ye Jin Young Lee Jung Hee Choi Seoung Myoung Choi Yook Kim Su Young Yoon |
| author_sort | Hong Rye Kim |
| collection | DOAJ |
| description | Craniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators. |
| format | Article |
| id | doaj-art-e8f4a339a5d74698a78da016a02f1df9 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-e8f4a339a5d74698a78da016a02f1df92025-01-06T01:07:59ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-08-01312828610.20408/jti.2018.31.2.82954Experience of Penetrating Gunshot Wound on Head in KoreaHong Rye Kim0Seung Je Go1Young Hoon Sul2Jin Bong Ye3Jin Young Lee4Jung Hee Choi5Seoung Myoung Choi6Yook Kim7Su Young Yoon8 Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea Department of Anesthesiology, Chungbuk National University Hospital, Cheongju, Korea Department of Orthopedic Surgery, Chungbuk National University Hospital, Cheongju, Korea Department of Radiology, Chungbuk National University Hospital, Cheongju, Korea Department of Thoracic Surgery, Chungbuk National University Hospital, Cheongju, KoreaCraniocerebral gunshot injuries (CGIs) are extremely seldom happened in Korea because possession of individual firearm is illegal. So, CGIs are rarely encountered by Korean neurosurgeons or Korean trauma surgeons, though in other developing countries or Unites states of America their cases are indefatigably increasing. Management goal should focus on early aggressive, vigorous resuscitation. The treatments consist of immediate life salvage through correction of coagulopathy, intracranial decompression, prevention of infection and preservation of nervous tissue. There have been few studies involving penetrating CGIs in Korea. Here we present a case of penetrating gunshot wound in Korea. We present a 58-year-old man who was unintentionally shot by his colleague with a shotgun. The patients underwent computed tomography (CT) for assessment of intracranial injury. The bullet passed through the left parietal bone and right lateral ventricle and exited through the posterior auricular right temporal bone. After CT scan, he arrested and the cardiopulmonary resuscitation was conducted immediately. But we were unable to resuscitate him. This case report underscores the importance of the initial clinical exam and CT studies along with adequate resuscitation to make the appropriate management decision. Physicians should be familiar with the various injury patterns and imaging findings which are poor prognostic indicators.http://www.jtraumainj.org/upload/pdf/jti-31-082.pdfwoundspenetratingwoundsgunshotcraniocerebral trauma |
| spellingShingle | Hong Rye Kim Seung Je Go Young Hoon Sul Jin Bong Ye Jin Young Lee Jung Hee Choi Seoung Myoung Choi Yook Kim Su Young Yoon Experience of Penetrating Gunshot Wound on Head in Korea Journal of Trauma and Injury wounds penetrating wounds gunshot craniocerebral trauma |
| title | Experience of Penetrating Gunshot Wound on Head in Korea |
| title_full | Experience of Penetrating Gunshot Wound on Head in Korea |
| title_fullStr | Experience of Penetrating Gunshot Wound on Head in Korea |
| title_full_unstemmed | Experience of Penetrating Gunshot Wound on Head in Korea |
| title_short | Experience of Penetrating Gunshot Wound on Head in Korea |
| title_sort | experience of penetrating gunshot wound on head in korea |
| topic | wounds penetrating wounds gunshot craniocerebral trauma |
| url | http://www.jtraumainj.org/upload/pdf/jti-31-082.pdf |
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