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Childs Nerv Syst. 2014 Sep;30(9):1589-94. doi: 10.1007/s00381-014-2429-0. Epub 2014 May 6.

Bihemispheric gunshot wounds: survival and long-term neuropsychological follow-up of three siblings.

Author information

1
Department of Neurosurgery, The University of Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL, 35294, USA, agordon@uabmc.edu.

Abstract

PURPOSE:

Penetrating gunshot wounds to the head (GSWH) have notoriously poor outcomes with extremely high mortality. Long-term follow-up data of affected children is scant in the medical literature. This report summarizes clinical presentation, management, and long-term outcomes from three children who survived "execution style" frontal, bihemispheric gunshot wounds with no or minimal surgical intervention.

METHODS:

A retrospective chart review of available medical records and outcomes from standardized, validated psychological instruments was undertaken, summarized, and evaluated.

RESULTS:

Despite bihemispheric injuries in each patient, no patient required operative intervention. Each child survived without readily evident neurologic impairment; however, the extent of impaired executive function varied widely, and severe disinhibition remains profoundly disabling in one survivor.

CONCLUSIONS:

Bihemispheric penetrating gunshot injuries are not uniformly fatal and can occasionally be associated with long-term favorable survival; however, impaired executive function has significant potential to be profoundly disabling in these injuries.

PMID:
24798479
DOI:
10.1007/s00381-014-2429-0
[Indexed for MEDLINE]

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