查看文章

A 38-year-old male patient sustained multiple skull injuries from a small-caliber firearm projectile, which entered through the right eye after being attacked outside his residence. As a result, he suffered head trauma with multifragmented cranial vault fracture causing exposure of the brain mass in the bilateral frontoparietal region, and complete injury to the right eyeball with fractures involving the posterior, lateral, medial walls, roof and floor walls of the orbit. The patient was transferred to the General Hospital of Axapusco, where he presented with a Glasgow Coma Scale score of 8. An initial skull tomography revealed injuries to both hemispheres, bilateral subarachnoid hemorrhage, parasagittal hemorrhagic contusions and cerebral edema, primarily affecting the corpus callosum and cingulum. Consequently, surgical intervention in the form of a hinge-type decompressive craniectomy and debridement was performed …