Spontaneous bullet migration- uncommon sequelae of firearm injury to the brain
Verantwortlicher Herausgeber dieser Rubrik:
05. April 2017 (online)
An important though uncommon complication of retained missiles is that of spontaneous migration. A 22 years young man presented to us with alleged firearm injury to head. The bullet migration was evident on the third day after injury when it was seen lying in the left posterior occipital region as compared to previous posterior frontal location. Softening of contused cerebrum along the missile tract and free weight of the bullet due to gravity were probably responsible for the bullet migration in this case. The patient underwent surgical exploration and progressively recovered. This case report emphasizes the fact that spontaneous migration of a foreign body in side the cranium should be watched for, resulting in damage to vital structures producing significant neurological damage. The presence of migration should be considered to be an urgent indication for surgical intervention.
- 1 Karabagali Hakan. Spontaneous movements of bullets in the interhemispheric region. Ped Neurosurg; 41: 148-50.
- 2 Alessi G, Aiyer S, Nathoo N. Home made gun injury: spontaneous version and anterior migration of bullet. Br J Neurosurg 16 2002; 381-384
- 3 Hammon WM. Analysis of 2187 consecutive penetrating wounds of the brain. J Neurosurg 34 1971; 142-144
- 4 Rapp LG, Arce CA, McKenzie R. Incidence of intracranial bullet fragment migration. Neuro Res 21 1999; 475-480
- 5 Salvati M, Cervoni L, Rocchi G, Rastelli E, Delfini R. Spontaneous movement of metallic foreign bodies. J Neurosurg Sci 41 1997; 423-425
- 6 Rengachary SS, Carey M, Templer J. The sinking bullet. Neurosurgery 30 1992; 291-295
- 7 Ross D, Zafonte DO, Thomas Watanabe, Mann Nancy R.. Moving bullet syndrome: A complication of penetrating head injury. Arch Phys Med Rehab 79 1998; 1469-1472