Der Nervenarzt
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The clinical and computed tomographic findings in 22 civilian cases of craniocerebral gunshot injury are reported. Fifteen out of the 19 male cases were suicidal attempts; the 3 women were shot by their husbands. In 2 cases the injuries resulted from use of a slaughterer's gun. ⋯ CT findings such as bihemispheric injury and detection of intraventricular blood or air were associated with a poor outcome. Surgical intervention appears to be justified only in patients with extensive subdural or epidural hematoma. The mortality rate in this study was 45%.
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Case Reports
[Unchanged ability following temporal gunshot injury with multiple intracerebral gunshot pellets].
The case of a 25-year-old male schizophrenic patient is reported, who with suicidal intent wounded himself in the left temporal region, using a shotgun. Despite having about 30 intacerebral smallshot, he remained continuously conscious. ⋯ The differing results of CT and NMR examination are reported. Finally, the complications reported in the literature are discussed.