CIVILIAN CASES OF TANGENTIAL GUNSHOT WOUNDS TO THE HEAD

A series of 168 civilian cases of tangential gunshot wounds to the hea d is presented. Neurologic deficits on presentation were generally min imal, Computed tomographic (CT) scans were performed in 51% of patient s, and abnormal CT findings were noted in 35% (18% of all patients). M ajor operative procedures were required in 9% of the patients. Serious sequelae of tangential injuries are described even with patients who initially have no neurologic abnormality. We suggest that a CT scan is warranted in all cases of tangential gunshot wounds to the head.