Neuronavigation as a minimally invasive tool in the treatment of intracranial gunshot injuries

International Journal of Burns and Trauma

Raphael Bertani¹  Pedro Góes²  Caio M Perret³  José Alberto Almeida Filho⁴  Luiz Felipe Souza⁵ 

[1] Department of Neurosurgery, Miguel Couto Municipal Hospital, Rio de Janeiro, Brazil;Division of Neurosurgery at University of Sao Paulo Medical School, Sao Paulo, Brazil;Intensive Care Unit, Miguel Couto Municipal Hospital, Rio de Janeiro, Brazil;Laboratory of Neuroprotection and Neuroregeneration Strategies, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;Paulista School of Medicine, Federal University of So Paulo, So Paulo, So Paulo, Brazil

关键词: Firearm injury;    traumatic brain injury;    neuronavigation;    gunshot injury;    penetrating brain injury;   

DOI  :  

学科分类：外科医学

来源: e-Century Publishing Corporation

【 摘 要 】

Gunshot injury is the most common cause of penetrating brain injury. The in-hospital mortality for civilians with penetrating craniocerebral injury is 52-95%. There are many surgical techniques suitable for the treatment of survivors. We report a surgical technique consisting of neuronavigation guidance for wound treatment with smaller incisions and craniotomies, followed by bullet removal if feasible. We report case of a 15 year old male patient who sustained an accidental firearm injury to the occipital region, submitted to surgical treatment that consisted in a minimally invasive approach guided by neuronavigation. Immediate neurological examination showed inferior homonymous quadrantanopsia alone as a clinical finding. Patient was discharged after one week, and no complications arised in follow-up. We conclude that using neuronavigation as a tool was effective in the reported case and that minimally invasive neurosurgical techniques may be a safe and efficient option for the treatment of traumatic brain injuries caused by firearm projectiles.

【 授权许可】

CC BY-NC