RADIOLOGICAL CHARACTERISTICS OF BRAIN DAMAGE IN COMBAT TRAUMA WITHIN FORENSIC MEDICAL EXAMINATION
Troyan V.N.1, Kostina A.S.1, Leonov S.V.2
1 - Burdenko Main Military Clinical Hospital.
2 - A.I. Evdokimov Moscow State Medical and Dental University. Moscow, Russia.
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urpose. To systematize and give an expert assessment of the possibilities of using CT scans of brain damage in case of gunshot injury in the interests of forensic medical examination.
Material and methods. A group of 50 victims with gunshot wounds in the head and neck was selected. The injuries of the victims, which were received from wounding shells, were studied using computed tomography data, as well as information from medical histories. Based on the above data, a general radiological characteristic of brain damage in combat trauma is formulated.
Results and discussion. In the course of the study, 50 people with isolated head injuries were selected, non-penetrating wounds were determined in 26 people and damage to the brain was noted in 24 cases. Visualization of the wound canal was observed in 16 patients (67%), whereas bruising of the brain substance occurred in 100% of cases. Wounding shells, as well as bone fragments, were detected in 22 out of 24 cases, which was 92%. Air bubbles along the course of the wound canal were detected in 13 cases (54%) and the hemorrhagic component was detected in 17 (71%) of the 24 studied. The assessment of the radiological characteristics of the injuries, as well as the condition of internal organs and surrounding structures, was carried out based on the results of computed tomography of the brain.
Conclusions. When solving expert tasks to establish the mechanism and circumstances of head injury in victims of gunshot injury, the following data should be taken into account: damage to bone elements, foreign bodies of various densities, wound canal, represented on CT examination by a zone of damage to soft tissues of the head and brain structures, concomitant damage (hemorrhagic contents, gas bubbles, bone fragments and wounding projectiles).
Keywords: computed tomography, forensic medical examination, wound channels.
Corresponding author: Kostina A.S., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Troyan V.N., Kostina A.S., Leonov S.V. Radiological characteristics of brain damage in combat trauma within forensic medical examination. REJR 2025; 15(1):29-33. DOI: 10.21569/2222-7415-2025-15-1-29-33.
Received: 26.07.24 Accepted: 13.02.25