Article Text

Download PDFPDF
Unusual presentation of more common disease/injury
Head trauma by captive bolt gun
  1. Anastasia Oikonomou1,
  2. Manos Astrinakis1,
  3. Theodossios Birbilis2,
  4. Pavlos Pavlidis3,
  5. Panos Prassopoulos1
  1. 1Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
  2. 2Department of Neurosurgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
  3. 3Department of Forensic Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
  1. Correspondence to Dr Anastasia Oikonomou, aoikonom{at}med.duth.gr

Summary

An 80 year-old former cattle-breeder committed suicide with a captive bolt gun. He was transmitted unconscious to emergency department. He had a large penetrating wound in right temporal area. Lateral radiograph of skull revealed a large rounded bony defect. CT verified a large rounded entry site and bony defect at the right pterion. It disclosed a wide, zonal-like haemorrhagic wound canal bearing intraparenchymal bony fragments at its end with no associated metallic fragments. Subarachnoid haemorrhage with bilateral subepidural hematomas and significant brain oedema was demonstrated.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.