2022, Number 1
<< Back
Rev Neurol Neurocir Psiquiat 2022; 50 (1)
Intracranial gunshot wound, a movil proyectile; case report and review of literature
Duarte DP, Serrato PJD, Rojas LO
Language: Spanish
References: 10
Page: 33-36
PDF size: 241.32 Kb.
ABSTRACT
Penetrating gunshot wounds to the skull are one of the most frequent causes of head trauma in developing countries. Some intracraneal locations of projectiles don't allow it's extraction. The migration of the retained projectile can cause rare complications as neuroinfection, neurological focalization and epilepsy. We present the case of a patient with low-velocity firearm projectile injury, with artifact migration through the same cerebral hemisphere, resulting in campimetric compromise, requiring resection of the fragment with improvement of the visual deficit.
REFERENCES
Zafonte RD, Watanabe T, Mann NR. Moving bullet syndrome: a complication of penetrating head injury. Arch Phys Med Rehabil. 1998; 79: 1469-1472.
Rammo RA, DeFazio MV, Bullock MR. Management of migrating intracranial bullets: lessons learned from surviving an AK-47 bullet through the lateral brainstem. World Neurosurg. 2012; 77 (3-4): 591.e19-24.
Rapp LG, Arce CA, McKenzie R, Darmody WR, Guyot DR, Michael DB. Incidence of intracranial bullet fragment migration. Neurol Res. 1999; 21 (5): 475-480.
Ospina-Delgado D, Mosquera Salas LM, Enríquez-Marulanda A et al. Caracterización de 95 pacientes adultos con trauma craneoencefálico debido a herida por proyectil de arma de fuego en un centro de referencia en Cali, Colombia. Neurocirugia. 2018; 29: 217-224.
Cushing H. A study of a series of wounds involving the brain and its enveloping structures. Brit J Surg. 1917; 5 (20): 558-684.
Leone A, Parsons AD, Willis S, Moawad SA, Zanzerkia R, Rahme R. Sinking bullet syndrome: A unique case of transhemispheric migration. Clin Neurol Neurosurg. 2021; 204: 106607. doi: 10.1016/j.clineuro.2021.106607.
Fujimoto Y, Cabrera HT, Pahl FH, de Andrade AF, Marino JR. Spontaneous migration of a bullet in the cerebellum--case report. Neurol Med Chir (Tokyo). 2001; 41 (10): 499-501. doi: 10.2176/nmc.41.499.
Ozkan U, Ozates M, Kemaloglu S, Güzel A. Spontaneous migration of a bullet into the brain. Clin Neurol Neurosurg. 2006; 108 (6): 573-575. doi: 10.1016/j.clineuro.2005.03.002.
Arslan M, Eseoglu M, Güdü BO, Demir I, Kozan AB. Spontaneous migration of a retained bullet within the brain: a case report. Ulus Travma Acil Cerrahi Derg. 2012; 18 (5): 449-452. doi: 10.5505/tjtes.2012.88965.
Hussain M, Bari E. Intracerebral migration of stray bullet leading to sudden and fatal worsening. J Coll Physicians Surg Pak. 2011; 21 (3): 182-183.