• Military medicine · Oct 2019

    Case Reports

    Successful Surgical Treatment of Severe Perforating Diametric Craniocerebral Gunshot Wound Sustained during Combat: A Case Report.

    • Andrii Sirko, Igor Kyrpa, Ihor Yovenko, Kateryna Miziakina, and Dmytro Romanukha.
    • Neurosurgery Department, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine.
    • Mil Med. 2019 Oct 1; 184 (9-10): e575-e580.

    AbstractMany researchers classify perforating diametric craniocerebral gunshot wounds as fatal because mortality exceeds 96% and the majority of patients with such injuries die before hospitalization. A 23-year-old Ukrainian male soldier was admitted to a regional hospital with a severe perforating craniocerebral wound in a comatose state (Glasgow Coma Scale score, 5). Following brain helical computed tomography, the patient underwent primary treatment of the cerebral wound with primary duraplasty and inflow/outflow drainage. After 18 days of treatment in the intensive care unit, he was transferred to a military hospital for further rehabilitation. This report details our unusual case of successful treatment of a perforating diametric craniocerebral gunshot wound.© Association of Military Surgeons of the United States 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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