, Volume 37, Issue 3, pp 207–211 | Cite as

CT analysis of missile head injury

  • N. Bešenski
  • D. Jadro-Šantel
  • F. Jelavić-Koic
  • D. Pavić
  • D. Mikulić
  • K. Glavina
  • J. Mašković
Diagnostic Neuroradiology


Between August 1991 and December 1992, CT was performed on 154 patients who had suffered missile head injury during the war in the Republic of Croatia. In 54% CT was performed 1–24 h after injury, and in 27% follow-up CT was also obtained. The wounds were penetrating, tangential or perforating (45%, 34% and 21%, respectively). Haemorrhage was the most frequent lesion in the brain (84%). Follow-up CT evolution of haemorrhage, oedema, cerebritis, abscess, secondary vascular lesions, necrosis, encephalomalacia and hydrocephalus. The most dynamic changes occurred 7–14 days after injury. In 14% of cases, deep cerebral lesions were found in the corpus callosum, septum pellucidum periventricular region and pons, although bone and shell fragments were in a different part of the brain parenchyma. Such lesions were found in penetrating injuries only. CT proved very useful for assessing the extent and type of lesions. Although different mechanisms of brain damage in missile head injury are known, here they are, to the best of our knowledge, shown for the first time by CT.

Key words

Computed tomography Head injury Gunshot wound Missile wound Retained bone 


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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • N. Bešenski
    • 1
  • D. Jadro-Šantel
    • 2
  • F. Jelavić-Koic
    • 3
  • D. Pavić
    • 2
  • D. Mikulić
    • 4
  • K. Glavina
    • 5
  • J. Mašković
    • 6
  1. 1.Department of RadiologyZagreb University Hospital RebroZagrebCroatia
  2. 2.Department of NeuropathologyZagreb University Hospital RebroZagrebCroatia
  3. 3.Department of RadiologyGeneral Hospital Sveti DuhZagrebCroatia
  4. 4.Zagreb School of MedicineZagrebCroatia
  5. 5.Department of RadiologyClinical HospitalOsijekCroatia
  6. 6.Department of RadiologyClinical HospitalSplitCroatia

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