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A Preclinical Controlled Cortical Impact Model for Traumatic Hemorrhage Contusion and Neuroinflammation
Published on: June 10, 2020
Gunshot wound to the clivus
Ankit I Mehta1, Carlos A Bagley
1Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA. ankit.mehta@duke.edu
British Journal of Neurosurgery
|August 17, 2010
Summary
A young boy survived a gunshot wound to the mouth that lodged in his clivus. He miraculously remained neurologically intact, highlighting the body's resilience.
Area of Science:
- Trauma Surgery
- Neurosurgery
- Otolaryngology
Background:
- Gunshot wounds to the head are complex and life-threatening injuries.
- The clivus, a critical anatomical structure at the skull base, is rarely involved in oral gunshot wounds.
Observation:
- A 14-year-old male presented with a gunshot wound traversing the palate.
- The projectile lodged within the clivus, a bone at the skull base.
Findings:
- Despite the projectile's trajectory and location, the patient exhibited no neurological deficits.
- The absence of neurological injury in this case is highly unusual.
Implications:
- This case underscores the variability in outcomes for complex craniofacial trauma.
- It highlights the importance of meticulous surgical assessment and management in pediatric head trauma.
- Further research into factors influencing neurological preservation in such injuries is warranted.
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