title: [Treatment methods of atypical gunshot wounds to the head--case reports].
abstract: Due to a high mortality rate, headshot injuries pose serious diagnostic and clinical problems. In this work, we wanted to describe four atypical headshot injuries. The first patient with a headshot injury using a nail gun mishap; the second one after a headshot injury, as a result of attempted murder (the bullet came to a parasagittal halt in the left parietal area); the third victim, after a suicide attempt (the bullet was removed from clivus area, below the pituitary gland); in the case of the fourth patient, after shooting himself with a self-constructed weapon in the chin, the metal body was surgically removed - a bearing pellet from the corpus callosum. Males dominate among victims of headshot injuries. Alcohol is one of the elements that facilitate suicidal behaviour. Anti-spasm, antibacterial, anti-tetanus prophylaxes are incredibly important. In some cases, the metallic body does not have to be removed from the brain. Pulmonary embolism can be a cause of death after 7 days from injury.
authors.affiliation: Department of Neurosurgery, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine in Warsaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Mielniczek
authors.affiliation: Department of Neurosurgery, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine in Warsaw, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Zieliński
authors.affiliation: Department of Neurosurgery, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine in Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Koziarski
mesh_terms: D000059:Accidents; D000328:Adult; D003415:Crime; D017809:Fatal Outcome; D020197:Head Injuries, Penetrating / Q000150:complications / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology; D013406:Suicide, Attempted; D014948:Wounds, Gunshot / Q000150:complications / Q000453:epidemiology / Q000628:therapy*
keywords: gunshot wound to the head; head injuries; unusual head trauma