• World Neurosurg · Jun 2020

    Case Reports

    Cranial Vault Reconstruction and Evacuation of Hemorrhage Following a Bifrontal Gunshot Wound to the Brain.

    • Andrew Platt, John Collins, and Peleg M Horowitz.
    • Department of Surgery, Section of Neurosurgery, University of Chicago, Chicago, Illinois, USA. Electronic address: andrewplatt2014@gmail.com.
    • World Neurosurg. 2020 Jun 1; 138: 408-410.

    AbstractCivilian 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.Copyright © 2020 Elsevier Inc. All rights reserved.

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