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- Title
Gunshot injury to the head: Management experience of Neuro-Surgery Department, King Abdullah Hospital, Bisha, KSA.
- Authors
Elzain, Mohammed Awad; Farooq, Umar; Kermoud, Boussad; Chawla, Naveed; Alfahl, Osama
- Abstract
Introduction: Gunshot injury to the head represents the majority of penetrating brain injuries. Detection of the entry and exit wounds and initial Glasgow Outcome Scale (GCS) assessment are important components in the management. Material and Methods: Th is was a prospective observational study done at King Abdullah Hospital, Bisha, KSA during the period from September 2017 to May 2019. Karnofsky Score (KS) was applied to all cases in the study to evaluate the fi nal post-joperative outcome. Data was then collected in a designed SPSS sheet and analyzed using SPSS version 20. Results: 5-cases were managed all were males. Age was ranging between 19 to 56 years with the average age of 31.4 years. 3-of the patients were referred intubated with low GCS (3/5, 60%) and 2-cases (2/5, 40%) presented fully conscious. Most of the patients had hemorrhagic contusions (4/5, 80%) followed with those with acute subdural hematomas (2/5, 40%) and depressed fracture (2/5, 40%). All patients were operated with debridement of entry and exit wounds (if any), accessible hematomas were evacuated and dural repair was achieved. 1-patient was referred to a higher center aft er had been operated, 3-patients had a score of 100 (3/4, 75%) while the remaining 1-has a score of 60 (1/4, 25%). Conclusion: Glasgow Outcome Scale is the gold standard tool for assessing the outcome of gunshot patients. Using a measurable tool for assessing the outcome (like Karnofsky score or Glasgow Outcome Scale) gives more accurate results and can help in comparing gunshot studies against each other to fi nd out what is the best for patients.
- Subjects
ABDULLAH, King of Saudi Arabia, 1924-2015; HEAD injuries; GLASGOW Coma Scale; KARNOFSKY Performance Status; BRAIN injuries; PENETRATING wounds
- Publication
Pakistan Journal of Surgery, 2020, Vol 36, Issue 1, p29
- ISSN
0258-8552
- Publication type
Article