<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-4122</journal-id>
<journal-title><![CDATA[Archivos de neurociencias (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Neurocien. (Mex.)]]></abbrev-journal-title>
<issn>2954-4122</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez"]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-41222023000300044</article-id>
<article-id pub-id-type="doi">10.31157/an.v28i3.437</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Bilateral decompressive craniectomy in a patient with head injuries caused by gun projectile: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riley-Moguel]]></surname>
<given-names><![CDATA[Ámbar Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrera-Salas]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Monterrubio]]></surname>
<given-names><![CDATA[Ricardo Adrian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vichi-Ramírez]]></surname>
<given-names><![CDATA[Micheel Merari]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín-Márquez]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Brain Research Institute  ]]></institution>
<addr-line><![CDATA[Xalapa Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Neural Dynamics and Modulation Laboratory  ]]></institution>
<addr-line><![CDATA[Cleveland Clinic Ohio]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>44</fpage>
<lpage>48</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-41222023000300044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-41222023000300044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-41222023000300044&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 38-year-old male patient sustained multiple skull injuries from a small-caliber firearm projectile, which entered through the right eye after being attacked outside his residence. As a result, he suffered head trauma with multifragmented cranial vault fracture causing exposure of the brain mass in the bilateral frontoparietal region, and complete injury to the right eyeball with fractures involving the posterior, lateral, medial walls, roof and floor walls of the orbit. The patient was transferred to the General Hospital of Axapusco, where he presented with a Glasgow Coma Scale score of 8. An initial skull tomography revealed injuries to both hemispheres, bilateral subarachnoid hemorrhage, parasagittal hemorrhagic contusions and cerebral edema, primarily affecting the corpus callosum and cingulum. Consequently, surgical intervention in the form of a hinge-type decompressive craniectomy and debridement was performed within the first 12 hours of trauma. It is worth noting that the patient&#8217;s recovery was favorable and without associated complications. In conclusion, early decompressive craniectomy is the preferred surgical treatment when a patient presents with a Glasgow Coma Scale score of less than 9 upon admission, exhibits bihemispheric and posterior fossa injuries along the wound trajectory, undergoes surgery within the first 12 hours following the injury, displays pupillary reactivity, and is older than 35 years of age.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[bilateral decompressive craniectomy]]></kwd>
<kwd lng="en"><![CDATA[hinge/floating craniotomy]]></kwd>
<kwd lng="en"><![CDATA[gunshot wounds]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
</kwd-group>
</article-meta>
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