Abstract

A 70-year-old man with a history of depressive syndrome was referred after being shot with a captive bolt pistol designed for killing livestock (Figure 1). The wound was suspected to be self-inflicted. The patient was admitted with a Glasgow Coma Scale (GCS) score of 6 and a left fixed dilatated pupil. He had a left temporal entry wound. A head computed tomography scan revealed a bloody trajectory with bone shards in the left temporal lobe and injury of the deep white substance, hippocampal region, thalamus, and mesencephalon.

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