Vector Analysis Correlating Bullet Trajectory to Outcome after Civilian Through-and-Through Gunshot Wound to the Head: Using Imaging Cues to Predict Fatal Outcome

Abstract

We confirm that GCS score and diabetes insipidus correlated with fatal outcome. In the setting of low-velocity gunshot wounds, fatal outcome and low GCS score were associated with a tram-track sign on CT scans. Bullet passage through a particular supra-dorsum sellar transventricular zone was associated with fatal outcome.