Copley I B
Department of Neurosurgery, Medical University of Southern Africa, Medunsa.
Br J Neurosurg. 1991;5(1):43-53. doi: 10.3109/02688699108998446.
The effects of high velocity missiles are described. A series of cases of craniocerebral tangential gunshot wounds over a 6 year period is presented with unsuspected cerebral contusion shown by CT. Tangential wounds are defined and classified into four groups. The associated brain damage, often unsuspected prior to CT, and in some cases without radiographic changes, of the four groups is compared. The short- and long-term sequelae and the extent of cerebral damage belie the innocent appearance of the scalp wound. This influences the management of this unusual type of head injury.
本文描述了高速导弹的影响。呈现了一系列在6年期间发生的颅脑切线枪伤病例,CT显示存在未被怀疑的脑挫伤。对切线伤进行了定义并分为四组。比较了四组相关脑损伤情况,这些损伤在CT检查之前常常未被怀疑,在某些情况下甚至没有影像学改变。短期和长期后遗症以及脑损伤程度与头皮伤口看似无害的外观不符。这对这种特殊类型头部损伤的处理产生了影响。