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首页> 外文期刊>Journal of Surgical Case Reports >A rare remarkable recovery in a pediatric patient with the bi-hemispheric, transventricular trajectory craniocerebral gunshot wound
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A rare remarkable recovery in a pediatric patient with the bi-hemispheric, transventricular trajectory craniocerebral gunshot wound

机译：小儿双脑，经脑室轨迹颅脑枪伤的患者罕见的显着恢复

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摘要

The gunshot wound to the head (GSWH) is associated with a mortality rate of 20–90% in adults and 20–65% in the pediatric population. Due to the high rates of mortality and morbidity, the management of these patients has been a topic of high interest in the neurosurgical community. We present an 18-year-old male suffering a GSWH with the bullet following a transventricular trajectory and crossing the midsagittal plane, creating extensive intracranial injuries. Despite a calculated mortality rate of 97% from these devastating injuries, the patient survived the GSWH and made a remarkable recovery. The young adult brain still maintains a high potential for neurological plasticity. This may partially explain why the young adult population with a severe GSWH can have a better than expected recovery course. Bifrontal GSW injuries may have much better outcomes than more posterior injuries as has been demonstrated in this patient in this case.
机译：头部枪伤（GSWH）与成人的死亡率为20–90％，儿科人群的死亡率为20–65％。由于高的死亡率和发病率，这些患者的治疗一直是神经外科界关注的话题。我们介绍了一名18岁男性，患有GSWH，其子弹经心室轨迹并越过矢状中平面，造成颅内广泛损伤。尽管从这些毁灭性伤害中计算得出的死亡率> 97％，但该患者在GSWH中幸存下来，并取得了显着的康复。年轻的成年大脑仍然具有很高的神经可塑性潜力。这可能部分解释了为什么患有严重GSWH的年轻成年人可以拥有比预期更好的康复过程。正如本例患者所证实的那样，双前部GSW损伤可能比后部损伤具有更好的结局。

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