Classification of Matson for Craniocerebral Gunshot Wounds

 

Clinical Features	Class
scalp wound without skull fracture	I
skull fracture without dural penetration	II
compound skull fracture with dura and brain penetrated	III
Class III with complicating factor	IV

 

Subtypes of Class III:

(1) gutter type with no retained missile

(2) penetrating type with missile retained in the brain

(3) perforating with no retained missile (through-and-through)

 

Complicating factors for Class IV:

(1) ventricular penetration

(2) fracture of the orbit or sinus

(3) injury to the dural sinus

(4) intracerebral hematoma