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https://observatorio.fm.usp.br/handle/OPI/31926
Title: | Neuronavigation as a minimally invasive tool in the treatment of intracranial gunshot injuries |
Authors: | BERTANI, Raphael; PERRET, Caio M.; ALMEIDA FILHO, Jose Alberto; SOUZA, Luiz Felipe; GOES, Pedro; MONTEIRO, Ruy; PAIVA, Wellingson Silva |
Citation: | INTERNATIONAL JOURNAL OF BURNS AND TRAUMA, v.9, n.1, p.19-22, 2019 |
Abstract: | 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 neuro-navigation 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. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/26 |
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