Profuse hemorrhage from cerebral vessels in tangential missile injuries

M. Elron, J. F. Soustiel, J. N. Guilburd, M. Zaaroor, M. Feinsod

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Tangential missile injuries are recognized as a cause of cerebral damage by indriven bone fragments, parenchymal lacerations and intracerebral haematomas. Severe blood loss from this type of injury was not reported. Four patients are described in whom high kinetic energy missiles caused severe tangential craniocerebral injuries. Their condition was aggravated by life threatening haemorrhage. The bleeding vessels were cerebral arteries or major veins entrapped in the fracture line and bleeding extracranially. This blood loss cannot be controlled by dressing and salvage could be achieved only by immediate resuscitation, vigorous fluid replacement and very rapid evacuation to a neurosurgical center.

Original languageEnglish
Pages (from-to)255-259
Number of pages5
JournalActa Neurochirurgica
Issue number3
StatePublished - 1998
Externally publishedYes


  • Blood loss
  • Gunshot wounds
  • Head injuries
  • Missile
  • Tangential


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