Civilian Craniocerebral Gunshot Injuries in a Developing Country: Presentation, Injury Characteristics, Prognostic Indicators, and Complications

Muhammad Babar Khan, Rajesh Kumar, Furqan Bin Irfan, Affan Bin Irfan, Muhammad Ehsan Bari

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)

Abstract

Background Civilian craniocerebral gunshot injuries (CGIs) are rare but increasing in incidence in the developing world and there is scare literature on presentation, injury characteristics, prognostic indicators, and complications of brain trauma due to projectiles. Methods A retrospective review of 51 civilian patients with CGI who presented to the Aga Khan University Hospital between 1998 and 2011 was carried out. Presentation, injury characteristics, and complications were analyzed with emphasis on outcomes and prognostic indicators. Results There were 43 male and 8 female patients with an average age of 28.92 (±12.33) years. Twenty-three patients had a Glasgow Coma Scale (GCS) score of 13-15, 6 patients had a GCS score of 9-12, and 22 patients had a GCS score of 3-8 on admission. The overall mortality rate was 22% (n = 11). The most common postoperative neurologic deficits were motor deficits (19 patients) followed by aphasias (11 patients). On univariate analysis, admission GCS score and bi- or multilobar injuries were found to be highly predictive of neurologic outcome. There was no difference in outcomes between penetrating and perforating injuries. We also failed to find a statistically significant correlation between ventricular injury and outcomes in our patients. Conclusion Admission GCS and number of lobes involved are highly prognostic of outcome. Patients with a GCS score ≥9 and unilobar injury on computed tomographic scans may benefit the most from surgical management.

Original languageEnglish
Pages (from-to)14-19
Number of pages6
JournalWorld Neurosurgery
Volume82
Issue number1-2
DOIs
Publication statusPublished - 2014

Keywords

  • Complications
  • Craniocerebral gunshot injury
  • Developing country
  • Glasgow Coma Scale
  • Injury characteristics
  • Presentation
  • Prognostic factors
  • Trauma

Fingerprint

Dive into the research topics of 'Civilian Craniocerebral Gunshot Injuries in a Developing Country: Presentation, Injury Characteristics, Prognostic Indicators, and Complications'. Together they form a unique fingerprint.

Cite this