Department of Surgery, Section of Neurosurgery, University of Chicago, Chicago, Illinois, USA.
Department of Radiology, University of Chicago, Chicago, Illinois, USA.
World Neurosurg. 2020 Jun;138:408-410. doi: 10.1016/j.wneu.2020.03.139. Epub 2020 Apr 2.
Civilian gunshot wounds to the brain are associated with high overall mortality; however, outcomes can vary significantly depending on bullet trajectory. This report details the outcome of a patient who sustained a bifrontal gunshot wound with multiple associated calvarial and frontal sinus fractures. Although surgery for penetrating brain injury is most frequently employed for relief of mass effect and decompression of vital structures, this case report describes a more comprehensive technique involving duroplasty, obliteration of the frontal sinus, and cranial vault reconstruction with the aim of decreasing the rate of cerebrospinal fluid leak, infection, reoperation, and readmission.
民用枪伤导致的颅脑损伤总体死亡率较高；然而，根据子弹轨迹的不同，结果可能会有很大差异。本报告详细介绍了一位患者的情况，该患者遭受了双侧额部枪伤，伴有多处颅骨和额窦骨折。尽管穿透性脑损伤的手术最常被用于减轻占位效应和减压重要结构，但本病例报告描述了一种更全面的技术，包括颅骨成形术、额窦填塞和颅盖重建，目的是降低脑脊液漏、感染、再次手术和再次入院的发生率。
