Civilian gunshot wounds to the brain: prognosis and management.

Abstract:

:The extent of treatment for the victims of gunshot wounds to the brain remains quite controversial, particularly when these patients present with extensive neurological dysfunction. We propose guidelines regarding the degree and aggressiveness of therapy. The factors that seem to have a significant impact on the patient's final outcome are the neurological examination at the time of admission, the radiological findings, and the motivation for the shooting. Thus, the authors propose a nonsurgical line of therapy for comatose patients with unilateral or bilateral cerebral gunshot wounds where bone or metal fragments are visualized away from the bullet path on computed tomography scan, particularly when these individuals are suicide victims.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Nagib MG,Rockswold GL,Sherman RS,Lagaard MW

doi

10.1227/00006123-198605000-00003

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

533-7

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

18

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1097/00006123-199901000-00062

    authors: Menovsky T,Grotenhuis JA,de Vries J,Bartels RH

    更新日期:1999-01-01 00:00:00

  • Reevaluation of syringosubarachnoid shunt for syringomyelia with Chiari malformation.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effectiveness of syringosubarachnoid (S-S) shunting for syringomyelia with Chiari malformation. The authors describe the technical methods of performing the S-S shunt and the clinical results, including shunt malfunction. METHODS:Forty-nine patients underwent S-S...

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    doi:10.1097/00006123-200002000-00026

    authors: Iwasaki Y,Hida K,Koyanagi I,Abe H

    更新日期:2000-02-01 00:00:00

  • Phrenology in the science and culture of the 19th century.

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    pub_type: 传,历史文章,杂志文章

    doi:10.1227/00006123-199510000-00025

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    更新日期:1995-10-01 00:00:00

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181fa2152

    authors: Santiago-Ramajo S,Katati MJ,Pérez-García M,Arjona-Moron V

    更新日期:2010-12-01 00:00:00

  • The Role of Extent of Resection in IDH1 Wild-Type or Mutant Low-Grade Gliomas.

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    doi:10.1093/neuros/nyx265

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    更新日期:2018-06-01 00:00:00

  • Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients.

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Goel A,Muzumdar D,Desai KI

    更新日期:2002-12-01 00:00:00

  • Impairment of cerebral autoregulation during the development of chronic cerebral vasospasm after subarachnoid hemorrhage in primates.

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199101000-00007

    authors: Takeuchi H,Handa Y,Kobayashi H,Kawano H,Hayashi M

    更新日期:1991-01-01 00:00:00

  • Mapping of lactate and N-acetyl-L-aspartate predicts infarction during acute focal ischemia: in vivo 1H magnetic resonance spectroscopy in rats.

    abstract::The time course, anatomic distribution, and extent of changes in cerebral lactate, N-acetyl-L-aspartate (NAA), and other metabolite levels determined by three-dimensional in vivo 1H magnetic resonance spectroscopy and single-voxel spectral analysis after middle cerebral artery occlusion in rats. Increased lactate was ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199601000-00030

    authors: Higuchi T,Fernandez EJ,Maudsley AA,Shimizu H,Weiner MW,Weinstein PR

    更新日期:1996-01-01 00:00:00

  • Surgical management of adult hydrocephalus.

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    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

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    authors: Bergsneider M,Miller C,Vespa PM,Hu X

    更新日期:2008-02-01 00:00:00

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000593

    authors: Higaki N,Yorozuya T,Nagaro T,Tsubota S,Fujii T,Fukunaga T,Moriyama M,Yoshikawa T

    更新日期:2015-03-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: Naff NJ,Hanley DF,Keyl PM,Tuhrim S,Kraut M,Bederson J,Bullock R,Mayer SA,Schmutzhard E

    更新日期:2004-03-01 00:00:00

  • Depression of circulating blood volume in patients after subarachnoid hemorrhage: implications for the management of symptomatic vasospasm.

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198409000-00010

    authors: Solomon RA,Post KD,McMurtry JG 3rd

    更新日期:1984-09-01 00:00:00

  • An institutional experience with cervical vagus nerve trunk stimulation for medically refractory epilepsy: rationale, technique, and outcome.

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    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1097/00006123-199812000-00001

    authors: Amar AP,Heck CN,Levy ML,Smith T,DeGiorgio CM,Oviedo S,Apuzzo ML

    更新日期:1998-12-01 00:00:00

  • Quantitative analysis of exposure of staged orbitozygomatic and retrosigmoid craniotomies for lesions of the clivus with supratentorial extension.

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000326013.99562.eb

    authors: Little AS,Jittapiromsak P,Crawford NR,Deshmukh P,Preul MC,Spetzler RF,Bambakidis NC

    更新日期:2008-05-01 00:00:00

  • Effect of 5% albumin solution on sodium balance and blood volume after subarachnoid hemorrhage.

    abstract:OBJECTIVE:Subarachnoid hemorrhage (SAH) predisposes patients to excessive natriuresis and volume contraction. We studied the effects of postoperative administration of 5% albumin solution on sodium balance and blood volume after SAH. We also sought to identify physiological variables that influence renal sodium excreti...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006123-199804000-00048

    authors: Mayer SA,Solomon RA,Fink ME,Lennihan L,Stern L,Beckford A,Thomas CE,Klebanoff LM

    更新日期:1998-04-01 00:00:00

  • The endonasal microscopic approach for pituitary adenomas and other parasellar tumors: a 10-year experience.

    abstract::THE DIRECT ENDONASAL transsphenoidal approach to the sella with the operating microscope was initially described more than 20 years ago. Herein, we describe the technique, its evolution, and lessons learned over a 10-year period for treating pituitary adenomas and other parasellar pathology. From July 1998 to January ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000327025.03975.BA

    authors: Fatemi N,Dusick JR,de Paiva Neto MA,Kelly DF

    更新日期:2008-10-01 00:00:00

  • Neurophysiological intraoperative monitoring of the glossopharyngeal nerve: technical case report.

    abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000316425.21752.E2

    authors: Husain AM,Wright DR,Stolp BW,Friedman AH,Keifer JC

    更新日期:2008-10-01 00:00:00

  • Decision making process: problem-based decision making.

    abstract::Clinical problems are often complex. Problems of great complexity are usually associated with a commensurately greater degree of difficulty with respect to the decision making process. This is most certainly true regarding the management of cervical spondylosis. Usually, clinicians make clinically appropriate decision...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249279.79686.E3

    authors: Shedid D,Benzel EC

    更新日期:2007-01-01 00:00:00

  • Predicting the Occurrence of Postoperative Distal Junctional Kyphosis in Cervical Deformity Patients.

    abstract:BACKGROUND:Distal junctional kyphosis (DJK) development after cervical deformity (CD)-corrective surgery is a growing concern for surgeons and patients. Few studies have investigated risk factors that predict the occurrence of DJK. OBJECTIVE:To predict DJK development after CD surgery using predictive modeling. METHO...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyz347

    authors: Passias PG,Horn SR,Oh C,Lafage R,Lafage V,Smith JS,Line B,Protopsaltis TS,Yagi M,Bortz CA,Segreto FA,Alas H,Diebo BG,Sciubba DM,Kelly MP,Daniels AH,Klineberg EO,Burton DC,Hart RA,Schwab FJ,Bess S,Shaffrey CI,A

    更新日期:2020-01-01 00:00:00

  • Functional anatomy of the spine by Avicenna in his eleventh century treatise Al-Qanun fi al-Tibb (The Canons of Medicine).

    abstract::The history of spinal surgery is an important part of the spine-related sciences. The development of treatment strategies for spine-related disorders is acquired from the Western literature. In this article, an Eastern physician, Ibn Sina, who is known as Avicenna in the West, and his treatise, Al-Qanun fi al-Tibb (th...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.neu.0000064811.30933.7f

    authors: Naderi S,Acar F,Mertol T,Arda MN

    更新日期:2003-06-01 00:00:00

  • Systemic administration of the iron chelator deferiprone attenuates subarachnoid hemorrhage-induced cerebral vasospasm in the rabbit.

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    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199712000-00028

    authors: Arthur AS,Fergus AH,Lanzino G,Mathys J,Kassell NF,Lee KS

    更新日期:1997-12-01 00:00:00

  • Surgical treatment of recurrent Cushing's disease.

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    pub_type: 杂志文章

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    authors: Hofmann BM,Hlavac M,Kreutzer J,Grabenbauer G,Fahlbusch R

    更新日期:2006-06-01 00:00:00

  • Therapeutic modalities for the management of cerebral vasospasm: timing of endovascular options.

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    pub_type: 杂志文章

    doi:10.1097/00006123-199905000-00022

    authors: Rosenwasser RH,Armonda RA,Thomas JE,Benitez RP,Gannon PM,Harrop J

    更新日期:1999-05-01 00:00:00

  • Covered Stents for the Prevention and Treatment of Carotid Blowout Syndrome.

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    更新日期:2015-08-01 00:00:00

  • Petrous bone pneumatization is a risk factor for cerebrospinal fluid fistula following vestibular schwannoma surgery.

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