Head gunshot injures are usually fatal. Elderly patients may have survived penetrating head injuries, since old bullets with lower velocity produce much less damage to brain tissue. We report a case of elderly male patient with mild head injury due to accidentally fall. Patient died a few hours after admission to Emergency Department. Autopsy finding showed one strayed projectile in the posterior horn of left lateral ventricle and one in the soft tissue of right VIII intercostal space. Later we obtained information that patient suffered multiple gunshot wounds about 35 years earlier. However, the cause of death was deterioration of long-term and severe hypertensive and atherosclerotic heart disease.

Axial non-contrast CT scan is the standard technique in patients with head and/or face injury. The three dimensional CT imaging reconstruction is becoming a gold standard in trauma of maxillofacial region enabling a clear perception of fracture lines and resulting displacement of fracture fragments. Le Fort fractures are fractures of the midface. In Le Fort type 3 fracture the craniofacial disjunction is present. A 91-yearold female had a mild facial trauma as a result of accidental fall. Axial CT scan showed artifacts, but three dimensional CT imaging reconstruction showed typical Le Fort type 3 fracture. Since clinical and 3D CT reconstruction finding were in complete contradiction, we repeated CT scan, which showed normal finding. This case is shows that in an era of incredible progress of neuroradiology, clinical examination still remains the best diagnostic tool.

Maligni astrocitomi su najčešći primarni tumori mozga kod odraslih i čine 2% od ukupnog broja malignih tumora. Glioblastom multiforme (GBM ) je visoko specifičan za stariju populaciju dok je kod mlađih od 14 godina izuzetno redak. GBM je malo zastupljeniji kod muškog pola nego kod ženskog u odnosu 1,6. Ovom retrospektivnom studijom obuhvaćeno je 183 pacijenata sa dijagnozom tumora mozga, operativno lečenih na odeljenju neurohirurgije KBC Zemun. U grupi mikstnih glioma postoji veća učestalost u odnosu na ostale tumore, kao i veća zastupljenost kod muškog pola 57 (60,6%), u odnosu na žensku populaciju 37 (39,4%). U odnosu na histološki tip analizirani su slučajevi koji su operisani i reoperisani (dijagnoza potvrđena PH nalazom). Od ukupno 175 operisanih i reoperisanih 40 (23%) su astrocitomi, 35 (20%) oligodendrogliomi, 94 (53,3%) multiformni glioblastomi (mikstni gliomi), i 6 (3,3%) ependimomi. Tipična lokalizacija astrocitoma i multiformnih glioblastoma je unutar temporalnog lobusa. Oligodendrogliomi su najčešće bili smešteni u prednjoj trećini velikog mozga, sa upadljivo najčešćim zahvatanjem frontalnih regiona.