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[Cranio-cerebral gunshot wounds in civilian practice in children]
C Jourdan1, J Convert, C Rousselle
1Département anesthésie-réanimation, hôpital neurologique P-Wertheimer, Lyon, France.
Abstract:
The circumstances and the prognosis of six gunshot craniocerebral wounds in civilian children are presented. The cause is a suicide in two cases and an accident in four cases. In three out of these four cases, another person is responsible for this accident, an adult two times, a child in one case. When the accident is due to a child, it is always by play and one time the accident is the autofact of a 2-year-old boy. In all cases, the fire arm was loaded and an adult's imprudence is present. The mortality is important (4/6). More than the initial clinical state, the seriousness of which is not a pejorative indice, the prognosis is subordinated to the CT scan aspect about the missile tract, and to the initial value of the intracranial pressure.