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Case Report
A case of complete recovery from a transcranial bi-hemispheric civilian gunshot wound: A case report
1 General Surgery Resident, Howard University Hospital, 2041 Georgia Ave NW, Rm 4B16, Washington, DC, USA
2 Medical Student, Howard University College of Medicine, Howard University Hospital, 520 W St NW, Washington, DC, USA
3 Chief of Neurosurgery, Department of Surgery, Howard University Hospital, Washington, DC, USA
4 Professor of Surgery & Chief, Division of Trauma, Critical Care, and Surgical Nutrition, Department of Surgery, Howard University Hospital, Washington, DC, USA
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Hitesh Ramesh Reddy
General Surgery Resident, Howard University Hospital, 2041 Georgia Ave NW, Rm 4B16, Washington, DC 20060,
USA
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Article ID: 100092Z12HR2021
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Reddy HR, Bay COA, Layne SA, Williams M, Fossett D. A case of complete recovery from a transcranial bi-hemispheric civilian gunshot wound: A case report. J Case Rep Images Surg 2021;7:100092Z12HR2021.ABSTRACT
Introduction: Gunshot wounds have become one of the leading causes of traumatic brain injuries across the United States. Their incidence has been steadily increasing due in part to a surge in overall homicide rates and gang violence. The morbidity and mortality rate associated with a gunshot wound (GSW) to the head is high and this worsens with a transcranial GSW.
Case Report: Herein, we describe a case of a 25-year-old African-American male found down after he sustained GSW while driving his car. His initial Glasgow Coma Score (GCS) was 11 and was noted to have a facial laceration over the right eyebrow, later discovered to be a GSW on computed tomography evaluation of the head. It demonstrated a foreign body of metallic density that traversed both hemispheres of the brain and lodged itself in the left parietal region. Following appropriate medical and neurosurgical management, he made a complete recovery to his former neurological state in a span of four weeks.
Conclusion: Gunshot wounds to the head are associated with high morbidity and mortality in the civilian population. This case portrays rare survival and return to normal baseline function of a young male after sustaining a devastating bi-hemispheric injury to the the brain.
Keywords: Complete recovery from gunshot wound to the head, Non-operative management of a cranial GSW, Transcranial gunshot wound
SUPPORTING INFORMATION
Author Contributions
Hitesh Ramesh Reddy - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Charles OA Bay - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Sylvonne A Layne - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mallory Williams - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Damirez Fossett - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Hitesh R Reddy et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
