Campbell Jeffrey, Piatt Joseph
1Division of Neurosurgery, Nemours Children's Hospital Delaware, Wilmington, Delaware; and.
Departments of2Neurological Surgery and.
J Neurosurg Case Lessons. 2022 Mar 14;3(11). doi: 10.3171/CASE227.
Military neurosurgeons have long known that tangential cranial gunshot wounds can be associated with intracranial complications out of proportion to the external appearance of the injury. This phenomenon seems not to have been described in infancy.
An infant suffered a massive, acute subdural hemorrhage from a contralateral tangential gunshot wound that did not facture the skull.
Similar to adults, infants are subject to catastrophic intracranial injury from gunshots that do not penetrate the skull. The nature of the injury in this case reflected distinctive aspects of the tissue characteristics and proportions of the infant head.
军事神经外科医生早就知道，颅骨切线枪伤可能会伴有与损伤外观不成比例的颅内并发症。这种现象在婴儿期似乎尚未有过描述。
一名婴儿因对侧颅骨切线枪伤导致大量急性硬膜下出血，颅骨未骨折。
与成年人一样，婴儿也会因未穿透颅骨的枪伤而遭受灾难性颅内损伤。该病例中损伤的性质反映了婴儿头部组织特征和比例的独特方面。
