Spontaneous migration of a falling bullet in the cerebellum reveals the importance of intraoperative skull X-ray

Author:

Hammed Ali1,Mahfoud Moufid1,Sulaiman Alaa1

Affiliation:

1. Tishreen University Hospital, Department of Neurosurgery, Lattakia, Syria

Abstract

Abstract Cranial gunshot wounds (CGSWs) are the most lethal types of the cranial traumas and they are usually mortal. Falling bullets or gravitational bullets are the ones that move under the effect of the gravity force after the muzzle force diminished. CGSWs constitute a major clinical challenge for neurosurgeons dealing with trauma in both the military and civil experience. We report the case of a 21-year-old man with a falling bullet wound to the head. The decision of surgical treatment of a bullet injury is difficult if it is in close proximity to vital structures; removal of the bullet may cause significant neurological damage; however, migration can lead to a worsening of the neurological status of the patient. Before surgical removal of any intracranial bullet, as valuable information, it is recommended that a plain skull X-ray be obtained after final positioning of the head.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Gunshot injuries due to celebratory gun shootings;Ozdemir;Turk Neurosurg,2009

2. Predictors of outcome in civilians with gunshot wounds to the head upon presentation;Gressot;J Neurosurg,2014

3. Traumatic brain injury due to gunshot wounds: a single institution's experience with 442 consecutive patients;Solmaz;Turk Neurosurg,2009

4. Incidence of intracranial bullet fragment migration;Rapp;Neurol Res,1999

5. Cranio-thoracic bullet migration over a period of 27 years: case report;Castillo-Rangel;Neurocirugia (Astur),2010

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3