Verlicchi A, Facchin P, Zanotti B
Neurological Clinic, University of Bologna, Italy.
J Neurosurg Sci. 1998 Dec;42(4):227-32.
The authors present a case of a patient wounded to the head and back by civilian firearm projectiles. The case peculiarity is that only one bullet reached the brain stem level causing significant neurological deficits. The final clinical picture is comparable to the "caudal pontine tegmentum syndrome". The authors describe both the bullet path and the intracranial localization taking into account ballistic details. The problems associated with prognosis, diagnosis, and treatment for gunshot wounds are discussed. In addition, the authors explain the main intracranial lesions and their mechanisms, the role of investigation, and the protocol of medical and surgical treatment. Lastly, a systematic approach for treating these types of gunshot wounds is outlined.
作者介绍了一例被民用枪支子弹击中头部和背部的患者病例。该病例的特殊之处在于只有一颗子弹到达脑干水平，导致了严重的神经功能缺损。最终的临床表现与“尾侧脑桥被盖综合征”相似。作者结合弹道细节描述了子弹路径和颅内位置。讨论了与枪伤预后、诊断和治疗相关的问题。此外，作者解释了主要的颅内病变及其机制、检查的作用以及药物和手术治疗方案。最后，概述了治疗这类枪伤的系统方法。
