Multimodal Pain Management in Complex Craniofacial Gunshot Injury with Penetrating Traumatic Brain Injury: A Case Report

Saturday, November 15, 2025

10:24 AM - 10:32 AM CT

Location: Griffin Hall - Screen 06

Introduction: Penetrating traumatic brain injuries (pTBI) from gunshot wounds to the head are rare but devastating, with high mortality and morbidity. Survivors suffer from pain syndromes, including neuropathic, somatic, and central pain, compounded with craniofacial trauma and neurological deficits. Pain management remains difficult due to altered mental status, polypharmacy, and possible opioid induced ventilatory depression. This case describes a multidisciplinary approach to pain management in a young male survivor of pTBI who sustained significant craniofacial fractures.

Submitting Author(s)

SS

Sahil S. Shah, DO

Resident Physician
Larkin Community Hospital - Palm Springs
Miami Lakes, Florida, United States

Co-Author(s)

BS

Bendik S. Stenersen, n/a

Resident Physician
Larkin Hospital
Miami Lakes, Florida, United States
KV

Katarina Valentic, n/a

MS IV
Nova Southeastern University - College of Osteopathic Medicine
Hialeah, Florida, United States