Does Nationality Matter for the Gunshot Brain Injury? Ten-Year Retrospective Observational Cadaveric Comparative Study for Gunshot TBI between Greece and Bulgaria
10.13004/kjnt.2019.15.e34
- Author:
Alexandrina S NIKOVA
1
;
Maria Valeria KARAKASI
;
Pavlos PAVLIDIS
;
Theodossios BIRBILIS
;
Ivaylo DIMITROV
Author Information
1. Department of Neurosurgery, Democritus University of Thrace, Alexandroupolis, Greece. nikovaalex@gmail.com
- Publication Type:Comparative Study
- Keywords:
Penetrating brain injuries;
Brain injuries, traumatic;
Cadaver;
Wounds, gunshot
- MeSH:
Atherosclerosis;
Balkan Peninsula;
Blood Vessels;
Brain Injuries;
Brain;
Bulgaria;
Cadaver;
Chronic Disease;
Delivery of Health Care;
Ethnic Groups;
Facial Bones;
Fatty Liver;
Forensic Sciences;
Greece;
Head Injuries, Penetrating;
Humans;
Mortality;
Parietal Bone;
Pulmonary Disease, Chronic Obstructive;
Retrospective Studies;
Skull;
Skull Base;
Suicide;
Toxicology;
Wounds, Gunshot
- From:Korean Journal of Neurotrauma
2019;15(2):95-102
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Penetrating brain trauma (PBT) caused by gunshot is one of the most lethal traumatic brain injuries (TBIs) and its management and confrontation is of great importance. METHODS: The authors searched retrospectively the archives from 2 similar autonomous laboratories of forensic science and toxicology in the Balkan peninsula for a 10-year period of time and included only fatal penetrating brain injuries. RESULTS: The study is conducted in 61 cadavers with gunshot PBT. All of the cadavers were victims of suicide attempt. The most common anatomical localization on the skull were the facial bones, followed by skull base, temporal and parietal bone, conducting a trajectory of the gunshot. Additional findings were atherosclerosis of the blood vessels and chronic diseases such as chronic obstructive pulmonary disease, cancer and fatty liver. CONCLUSION: PBI has a high mortality rate. There are factors and findings from the collected data differing between the 2 aforementioned nations. Either way, better preventative measures, gun control and healthcare system are highly necessary.
