To Study the Factors of Favorable Clinical Outcome of Traumatic Brain Injury Due to Firearm

Authors

  • MUHAMMAD ALI NOMAN Senior Registrar Neurosurgery HMC, Peshawar
  • AZMAT ULLAH KHATTACK Hayatabad Medical Complex
  • SHAHID AYUB Hayatabad Medical Complex

Keywords:

Traumatic brain injury, Gunshot wounds, GCS, Brain injury

Abstract

Aim: The aim of this study is to evaluate factors affecting favorable outcome of traumatic brain injuries caused by bullets and bomb blast wounds.
Material and Methods: This was a descriptive study conducted in the department of neurosurgery Hayatabad Medical Complex Peshawar from January 2011 to January 2012. There were 104 patients of bomb blast and bullet injuries to the head were admitted in emergency department of Hayatabad Medical Complex after initial resuscitation shifted to Head Injury Unit. Their neurological, radiological and operative findings were studied for favorable clinical outcome. Neurological assessment was done with Glasgow coma score, X-Ray skull and CT brain was done in all the patient. Emergency surgery was done for all the patients. All patients were fallowed for a period of two month. Brain injuries due to other causes were excluded from the study.
Results: Almost all patients (80%) were male, and the mean patient age was 22.3 years. Wounds caused by shrapnel in 70 percent of patients. The Glasgow Coma Score (GCS) score at admission was below 8 in 26 pati-ents (25%) and above 8 in 78patients (75%). In total, 14 patients (13.4%) died despite surgical management.
Conclusion: Low GCS scores, ventricular injuries and bihemispheric injuries are correlated with poor prog-nosis. Early and less invasive surgery in conjunction with short transportation time to the hospital could decrease mortality rates.

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Published

2018-09-29

Issue

Vol. 17 No. 1 (2013): January-June

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).