Clinical case Study of a Patient Treated for a Craniocerebral Wound by Shooting

Abstract

Suicide and attempted suicide are a major cause of death worldwide, with the highest percentage being male at a young age. In Romania, suicide by shooting has a low incidence rate due to restricted access to firearms. A clinical case study was performed on a 27-year-old patient, hospitalized and treated at the Neurosurgery Department of the County Emergency Clinical Hospital, Constanta for a craniocerebral wound by shooting, following a suicide attempt. The patient was brought to the emergency department for a shot craniocerebral wound, with a submental entry point and a left frontal exit point. The patient's condition was good, he was conscious, cooperative, without neurological deficits present. Examination of the craniocerebral CT reveals left frontal intraparenchymal hematoma, small right frontal contusions, supratentorial subarachnoid hemorrhage, left frontal-parieto-temporal subdural hematoma blade and left facial and left fronto-parietal left hemimachial fractures, with comminution at the level from left frontal and maxillary hemosinus left frontaltemporal epicranial hematoma, bilateral submandibular subcutaneous emphysema and pneumocephaly. It is operated surgically, performing a scylectomy and repairing the dural defect with a favorable post-operative evolution.

Keywords

• cranio-cerebral wound
• brain laceration
• suicide