@article{ref1,
title="Craniocerebral gunshot injuries in Chad: a study of 44 cases",
journal="World neurosurgery",
year="2022",
author="Kessely, Yannick Canton and Ndortolnan, Aser and Toudjingar, Félicien G. and Ndolembai, Njesada and Li-Iyané Ouambi, Olivier and Aggad, Mourad and Berete, Ibrahima and Aouami, Aboubacar and Dobian, Succés R. and Kader, Ndiaye and Berret, Martine and Traore, Sorry and Abbassi, Adamou and Assi, Constant and Code, Momar",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Firearm head injuries cause great public health concern because of their severity. They are life-threatening due to intracranial lesions and sepsis risks. This prospective study evaluates the management of the craniocerebral wound in Chad. This is an observational study conducted over a period of 65 months with 44 patients with a ballistic craniocerebral wound (BCW) of which only 7.18% were assessed by neurosurgeons with Gunshot Wound (GSW). The mean age was 30.57 ± 13 years with extremes of 2 and 60 years. The 21 to 30 age group was the most affected (31.8%). The sex ratio was 22. 63.6% of cases involved Military personnel. The average admission time was 24.95 ± 12 hours, ranging from 1 hour to 72 hours. Explosive device attacks represented 29.5% of cases of which 53.3% occurred in civilian practice. Point-blank shooting was reported in 70.5% of cases. The entry hole of the projectile was frontal in 40.9%. Intracranial sequestration of the projectile was found in 56.8%. The association of upper limb trauma was found in 9.1% of cases. Brain scans were performed in 95.5% of cases. Surgical treatment was undertaken in 68.18% of cases. The recovery process was marked by brain abscess in 6.8% of cases. Seven deaths were recorded.<p /> <p>Language: en</p>",
language="en",
issn="1878-8750",
doi="10.1016/j.wneu.2022.04.001",
url="http://dx.doi.org/10.1016/j.wneu.2022.04.001"
}