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[Computerized tomography in craniocerebral, maxillofacial, cervical, and spinal gunshot wounds. Part II--Clinical contribution and medico- legal aspects].
- Source :
-
La Radiologia medica [Radiol Med] 1996 Dec; Vol. 92 (6), pp. 693-9. - Publication Year :
- 1996
-
Abstract
- To assess the diagnostic and medicolegal contribution of Computed Tomography (CT) in patients with craniocerebral, maxillofacial, neck and spine gunshot wounds, we submitted to CT 106 patients with gunshot wounds examined over a 7-year period (February, 1988 to December, 1994). Twenty-four of them had craniocerebral injuries (23%), 9 maxillofacial (8%), 8 neck (8%) and 10 vertebral (9%) injuries. Emergency CT demonstrated the mechanism of the injury, the bullet path and site, the site of bone and/or metallic fragments, and damage extent. In all perforating cranioencephalic injuries (n = 7) intracerebral or extrathecal bone fragments were demonstrated adjacent to the bullet entrance and exit holes, respectively. In injury monitoring. CT showed injury evolution, retained fragments and complications, thus enabling damage extent assessment. High Resolution Computed Tomography (HRCT) was useful in locating minute orbitary retrobulbar and intraspinal fragments. Magnetic Resonance (MR) Imaging in postoperative patients proved a valuable tool to assess the extent of spinal cord damage. To conclude, CT is a useful technique to examine the patients with gunshot wounds, which helps plan adequate treatment and solve complex medicolegal problems.
- Subjects :
- Adolescent
Adult
Brain Injuries etiology
Female
Forensic Medicine
Humans
Male
Middle Aged
Spinal Cord Injuries etiology
Spinal Injuries etiology
Tomography, X-Ray Computed
Brain Injuries diagnostic imaging
Facial Bones diagnostic imaging
Facial Bones injuries
Spinal Cord Injuries diagnostic imaging
Spinal Injuries diagnostic imaging
Wounds, Gunshot diagnostic imaging
Subjects
Details
- Language :
- Italian
- ISSN :
- 0033-8362
- Volume :
- 92
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- La Radiologia medica
- Publication Type :
- Academic Journal
- Accession number :
- 9122456