Delayed Tension Pneumocephalus following Gunshot Wound to the Head: A Case Report and Review of the Literature

Figure 1

Preoperative computed tomography (CT) of the head and neck. (a) Scout image demonstrating multiple metallic fragments intracranially and in the bifrontal soft tissue and bone. (b) Axial noncontrast CT demonstrating an extensive right frontal skull fracture with intracranial acute blood products including intraparenchymal, subarachnoid, subdural, and epidural components. (c, d) Coronal and sagittal reconstructions demonstrating the entry and exit sites of the bullet and the comminuted displaced free floating right frontal bone fragment.

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