Agrawal A, Pratap A, Rauniar R K, Kumar A, Nepal U
Department of Surgery, BPKIHS, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):145-6.
Gunshot wounds to the head are usually mortal injuries. We present a unique case of intracranial ricocheting of bullet without neurological deficits. Patient was treated conservatively with antibiotics for one week and prophylactic anticonvulsants for six weeks. Patient is doing well at six months follow up. Repeat X-ray skull showed that bullet was lying in the occipital region. It is recommended that deep seated bullets should be left behind as any attempt to remove that bullet may increase the morbidity and mortality. However close follow up of these patients is very important as these patients may come back with brain abscess.
头部枪伤通常是致命伤。我们报告了一例独特的子弹颅内跳弹伤病例，患者没有神经功能缺损。患者接受了为期一周的抗生素保守治疗和为期六周的预防性抗惊厥治疗。在六个月的随访中，患者情况良好。颅骨复查X线显示子弹位于枕部区域。建议对于深部嵌入的子弹不予取出，因为任何取出子弹的尝试都可能增加发病率和死亡率。然而，对这些患者进行密切随访非常重要，因为这些患者可能会出现脑脓肿。
