title: Tangential low-velocity missile wound of the head with acute subdural hematoma: case report.
abstract: Tangential missile wounds of the head without skull fracture are a known entity. Usually, references in the literature indicate that this type of injury results from a high-velocity missile impact. We present a case of a tangential missile head wound caused by a low-velocity missile. As the range of fire was short, the quantity of energy that might be released could be equated with that released by a high-velocity missile fired from a much longer range. This possibility should be brought to the attention of clinicians as an essential element in this pre-treatment clinical evaluation. We propose a pathomechanical explanation for the development of the clinical state.
authors.affiliation: Department of Emergency Medicine, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: N
authors.initials: N
authors.lastname: Hadas
authors.forename: J
authors.initials: J
authors.lastname: Schiffer
authors.forename: M
authors.initials: M
authors.lastname: Rogev
authors.forename: Y
authors.initials: Y
authors.lastname: Shperber
mesh_terms: D000208:Acute Disease; D000328:Adult; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D012886:Skull / Q000293:injuries* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology