Pediatric gunshot penetrating head injury: a case report with 2-year follow-up

  • Steven Tandean Department of Neurosurgery, Universitas Sumatera Utara, H. Adam Malik General Hospital, Medan
  • Marsal Risfandi Department of Neurosurgery, Universitas Sumatera Utara, H. Adam Malik General Hospital, Medan
  • Iskandar Japardi Department of Neurosurgery, Universitas Sumatera Utara, H. Adam Malik General Hospital, Medan
Keywords: gunshot penetrating head injury, pediatric

Abstract

Gunshot is a rare subset of penetrating head injury, and generally the victim dies before arriving at the hospital. This paper reported a case of an intracranial gunshot injury in a 12 year-old boy that was shot by his friend, whose primary intention was to play around, using a revolver. A missile projectile penetrated from mid frontal and came out from right occipital. Vital signs were stable with GCS 8 from physical examination. A rational management strategy should permit a good outcome. The only complications that occured were hydrocephalus, yet it was managed by VP–shunt. Skull defect was closed using titanium mesh. A two-year follow-up showed a good result. The patient was able to do daily activity and back to school again.

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Published
2018-02-14
How to Cite
Tandean, S., Risfandi, M., & Japardi, I. (2018). Pediatric gunshot penetrating head injury: a case report with 2-year follow-up. Medical Journal of Indonesia, 26(4), 302-6. https://doi.org/10.13181/mji.v26i4.1472
Section
Case Report