Craniocerebral gunshot injuries; A review of the current literature

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dc.contributor.authorAlvis-Miranda, Hernando Raphael
dc.contributor.authorRubiano, Andrés M.
dc.contributor.authorAgrawal, Amit
dc.contributor.authorRojas, Alejandro
dc.contributor.authorMoscote-Salazar, Luis Rafael
dc.contributor.authorSatyarthee, Guru Dutta
dc.contributor.authorCalderon-Miranda, Willem Guillermo
dc.contributor.authorHernandez, Nidia Escobar
dc.contributor.authorZabaleta-Churio, Nasly
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-08-06T16:09:13Z
dc.date.available2020-08-06T16:09:13Z
dc.date.issued2016
dc.description.abstractenglishCraniocerebral gunshot injuries (CGI) are increasingly encountered by neurosurgeons in civilian and urban settings. Unfortunately, more prevalent condition in developing countries, with major armed conflicts which is still persisting, since the main trigger is violence at the national or state level. Management goals of CGI should focus on aggressive resuscitation and correction of coagulopathy; those with stable vital signs should undergo CT scan head at the earliest possible opportunity. Neuroimaging is vital for planning of surgical management, especially to determine the type of surgery, routes of the approach to the surgical target area and extraction of the impacted foreign bodies, however, surgical management is not always indicated. Although subset of such cases may be managed even with non-surgical management. The treatment comprises of immediate life salvaging resuscitative measures including control of the persistent bleeding, care of associated injury, management of raised intracranial pressure, prevention of cerebrospinal fistula formation by primary watertight dural repair and prevention of infection, through extensive debridement of contaminated, macerated or ischemic tissues; preservation of nervous tissue and restoration of anatomic structures through the hermetic sealing of dural and scalp defect. Recently, only few studies of craniocerebral penetrating injuries are published that too involving smaller patients sample sizes; although classic studies in the military and civil situation noticed associated relatively very high mortality and morbidity and psychological as well as economic impact on the affected individual, the family and the health system in providing ongoing care to the sufferers and society at large. Currently various measures are advocated with aim to reduce the incidence of CGI especially in civilian populations. It is highly necessary and immensely urgent to promote research in a neurocritical care of CGI to provide positive impact on improvement of the quality of life and further providing better care and reduction of overall health care cost.eng
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2322-3960
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3699
dc.language.isoeng
dc.publisherShiraz University of Medical Sciencesspa
dc.publisher.journalBulletin of Emergency and Traumaspa
dc.relation.ispartofseriesBulletin of Emergency and Trauma, 2322-3960, Vol. 4, Nro. 2, 2016, p. 65-74spa
dc.relation.urihttps://beat.sums.ac.ir/article_44320.html
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2016-04
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordsCraniocerebral gunshot injuriesspa
dc.subject.keywordsPenetrating head injuryspa
dc.subject.keywordsNeurotraumaspa
dc.subject.keywordsManagementspa
dc.subject.keywordsPrognosisspa
dc.subject.keywordsOutcomeCraniocerebral gunshot injuriesspa
dc.subject.keywordsOutcomespa
dc.titleCraniocerebral gunshot injuries; A review of the current literaturespa
dc.title.translatedCraniocerebral gunshot injuries; A review of the current literaturespa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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