title: [Gunshot injuries of the skull. Computerized tomography findings and clinical course].
abstract: 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. The level of consciousness is a valuable predictor of outcome from the clinical point of view. 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%.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001929:Brain Edema / Q000000981:diagnostic imaging; D001930:Brain Injuries / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging*
vernacular_title: Schussverletzungen des Schädels. Computertomographischer Befund und klinischer Verlauf.