The Reevaluation of Intracranial Traumas Due to Life-Threating Criteria Which Doesn't Have Clinical Findings: Case Report

  • Yusuf Atan Gaziantep Üniversitesi Adli Tıp Anabilim Dalı
  • Murat Akbaba Gaziantep Üniversitesi Adli Tıp Anabilim Dalı
  • Mustafa Kenan Asıldağ Adli Tıp Kurumu Gaziantep Adli Tıp Şube Müdürlüğü
  • Zekeriya Tataroğlu Gaziantep Üniversitesi Adli Tıp Anabilim Dalı
  • Veysal Daş Gaziantep Üniversitesi Adli Tıp Anabilim Dalı
Keywords: Intracranial foreign body, gunshot wounds, life-threatening, forensic medicine

Abstract

Gunshot wounds, towards to the head frequently ends with the fractures of the skull, brain hemorrhage and brain tissue damage. Each of these three injury types cause life-threatening due to the Turkish Penal Code, and they are usually seen together.

As known, there are three basic foramens associated with cranium; superior and inferior orbital fissure and the optic channel which the optic nerve passes through.

In presented case, a 39 years old female patient who was shot with a pump rifle (a kind of gunshot type) from her face and one pellet which does not produce any bone fracture or neurological symptom while passing the orbital pit, is presented.

This case was found interesting because; even though these kinds of wounds are inside the criterias of life-threatening, in our case, the pellet which passes through the orbital pit did not produce any bone fracture, neurological symptom or brain tissue damage. In this study, it is aimed to discuss that should the life-threatening decision must be given just only according to the location of wound or should it be given according to the magnitude of damage?

Downloads

Download data is not yet available.

Author Biography

Yusuf Atan, Gaziantep Üniversitesi Adli Tıp Anabilim Dalı
Bendeniz 2012 yılında Çukurova Üniversitesi Tıp Fakültesinden mezun oldum. 2012-2013 yılında 3 ay pratisyen hekim olarak Nevşehirde çalıştım. Daha sonra 2013 Şubat ayında Gaziantep Üniversitesi Adli Tıp Anabilim Dalı'nda uzmanlık eğitimime başladım. Halen burada Araştırma Görevlisiyim.

References

1. Donnarumma P, Tarantino R, Gennaro P, Mitro V, Valentini V, Magliulo G et al.: Penetrating gunshot wound to the head: transotic approach to remove the bullet and masseteric-facial nerve anastomosis for early facial reanimation. Turkish Neurosurgery 24:415-8, 2014.
2. Callahan AB, Yoon MK: Intraorbital foreing bodies: retrospective chart review and review of literature. Int Ophthalmol Clin 53:157-65, 2013.
3. Chan SK, Pang KY, Wong CK: Transnasal penetrating intracranial injury with a chopstick. Hong Kong Med J 20:67- 9, 2014.
4. Adli Tıp Ders Kitabı, İstanbul: Cerrahpaşa Tıp Fakültesi Vakfı Yayınları, 2011; 635-6.
5. Güzel S, Balcı Y, Çetin G. Adli Tıp Kurumu Başkanlığı Adli Tıp Uzmanları Derneği Adli Tıp Derneği, Türk Ceza Kanun’unda tanımlanan yaralanma suçlarının adli tip açısından değerlendirilmesi, 2005(Güncelleme Editörleri; Gündoğmuş ÜN, Balcı Y, Akın M. 2013);1-2.
6. Ozdol C, Ozdol N.C, Celikmez R.C, Turk C.C, Dogan O, Kara N.N; Incidentally detected intracranial multiple metallic foreign bodies. Türk Norosirurji Dergisi Cilt 25, Sayı 1, Sayfa 55-7, 2015.
7. Miller CF, Brodkey JS, Colombi BJ. The danger of intracranial wood. Surg Neurol 1977;7:95-103.
8. Wesley RE, Anderson SR, Weiss MR, Smith HP. Management of orbital-cranial trauma. Adv Ophtal Plast Reconstruct Surg 1988;7:3-26.
9. Martins RS, Siqueira MG, Santos MT, Zanon-Collange N, Moraes OJ. Prognostic factors and treatment of penetrating gunshot wounds to the head. Surg Neurol 2003;60:98–104.
10. Miller JD, Butterworth JF, Gudeman SK, Faulkner JE, Choi SC et al.; Further experience in the management of severe head injury. J Neurosurg 1981;54:289–99.
11. Cınar K, Secer M, Alagoz F, Ulutas M, Uckun OM ve ark.; Outcomes and demostration of cranial firearm injuries: a multicenter retrospective study. Ulus Travma Acil Cerrahi Dergisi, July 2015, Vol. 21, No. 4;291-6.
12. Oyar O, Yavuz MS, Koroglu M. A bullet that remained and deformed in the body. The Turkish Journal of Forensic Sciences, 2004;3(1):41-5.
13. Cavalieri-Costa R, Stape CA, Suzuki I, Targa WH, Batısta MA et al.; Lead poisoning caused by a bullet in the hip.report of 2 cases. Rev Hosp Clin Fac Med Sao Paulo, 1994;49:124-7.
14. Jansen DL, Tirman PFJ, Rabassa AE, Kumar S. Lead “bursogram” and focal synovitis secondary to a retained intraarticuler bullet fragment. Skeletal Radiology, 1995;24(2):142-4.
Published
2018-04-05
How to Cite
1.
Atan Y, Akbaba M, Asıldağ M, Tataroğlu Z, Daş V. The Reevaluation of Intracranial Traumas Due to Life-Threating Criteria Which Doesn’t Have Clinical Findings: Case Report. The Bulletin of Legal Medicine [Internet]. 5Apr.2018 [cited 21Jun.2018];23(1):69-2. Available from: http://www.adlitipbulteni.com/index.php/atb/article/view/1047
Section
Case Reports