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We describe a case of an unusual craniocerebral injury that was initially interpreted as a blow from a wooden object. The appearance of the wound lacked the classical characteristics of entrance and exit bullet wounds, but the investigation showed it was due to the ricocheting of a destabilized bullet. Potentially lethal, craniocerebral gunshot injuries are a common occurrence in developing countries even in non-conflict areas, with very bad outcomes even when treated aggressively in specialized neurosurgical facilities. The authors briefly discuss similar cases and opinions in the relevant literature, emphasizing the importance of a rational approach during the reconstruction of the crime scene.<\/jats:p>","DOI":"10.1177\/0025817216678718","type":"journal-article","created":{"date-parts":[[2016,11,11]],"date-time":"2016-11-11T22:33:53Z","timestamp":1478903633000},"page":"51-54","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["An unusual lethal gunshot wound to the head"],"prefix":"10.1177","volume":"85","author":[{"given":"Elmas","family":"Shaqiri","sequence":"first","affiliation":[{"name":"Department of Forensic Pathology, Institute of Legal Medicine, Tirana, Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bledar","family":"Xhemali","sequence":"additional","affiliation":[{"name":"Department of Forensic Pathology, Institute of Legal Medicine, Tirana, Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zija","family":"Ismaili","sequence":"additional","affiliation":[{"name":"Department of Forensic Pathology, Institute of Legal Medicine, Tirana, Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Admir","family":"Sinamati","sequence":"additional","affiliation":[{"name":"Department of Forensic Pathology, Institute of Legal Medicine, Tirana, Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gentian","family":"Vyshka","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Medicine in Tirana, Tirana, Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,11,12]]},"reference":[{"key":"bibr1-0025817216678718","doi-asserted-by":"crossref","unstructured":"Dettmeyer RB, Verhoff MA, Sch\u00fctz HF. 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