Abstract
Abstract: Ball bearing (BB) and pellet guns are non-power guns but their related injuries have been reported worldwide. They represent a significant cause of injury especially among children and teenagers. Their potentially harmful and lethal effects have been well documented in the medical literature since the early 1980s. Fatality rate is closely related to the damaged part of the brain and the level of the damage. In this Case Report we documented a 6-years-old girl was getting shot at the head by herself, who initially want to play around, using her neighbour’s Air gun rifle. The pellet trajectory passed through the left frontal lobe, left temporal lobe, left posterior putamen, posteriorly left crus posterior of internal capsule, left occipital horn of lateral ventricle, left occipital lobe, and ended at left cerebral falx between both medial surfaces of occipital lobes. Directional slope of the pellet was medially upward, with its tracking left Intracerebral Hemorrhage (ICH) with perifocal edema and Intraventricular Hemorrhage (IVH) dominant in the left lateral ventricle. After 8 days management, the patient was discharged from our hospital with stable condition, GCS 15 without any significant neurological deficits. Intracranial intracerebral pellet due to air gun shot injury, may have fatal and lethal manifestation if the pellet damage the eloquent area and/or deep area of the brain (hypothalamus, thalamus and brain stem). If accessible the foreign body or pellet should be removed immediately for better outcome. Keywords: Head Injury, Air Gun Shot, Intracerebral Haemorrhage
Highlights
Ball bearing (BB) and pellet guns are non-power guns but their related injuries have been reported worldwide
BB/pellet gun related injuries and their potentially harmful and lethal effects have been well documented in the medical literature since the early 1980s
A BB gun-related injury could be defined as a gunshot wound from a pistol or rifle that fires a ball pellet
Summary
Ball bearing (BB) and pellet guns are non-power guns but their related injuries have been reported worldwide. One child who was shot in the hand had numbness of a finger acutely and was lost to follow-up.[7] This case report discuss an interesting case of patient with wide intracranial lesions caused by pellet air gun injury without any significant neurological deficit in the outcome. CASE After getting permission from the patient’s parent, we reported a case of 6years-old girl who came to ER at Ulin General Hospital with decrease of consciousness just after getting shot at the head by herself, who initially want to play around, using her neighbour’s Air gun rifle that usually used for bird’s hunting She was shot at left frontal lateral aspect of the. Based on local physical head inspection, at the left lateral frontal superiorly to zygomatic bone region was found a 3mm x 3mm penetrating wound showing a pellet enters the intracranial cavity (Figure.[1]). After 8 days management, the patient was discharged from our hospital with stable condition, GCS 15 without any significant neurological deficits
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