Migration of the retained intracranial bullet to the spinal canal: A case report
Introduction. Retained intracranial missiles migration is rarely reported. Most of the time, the missile will migrate and remain intracranially, but in extremely rare cases, it may reach the spinal canal. The aim of the study was to present a patient with this rare clinical entity. Case report. The...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN SR |
| Publicado: |
Military Health Department, Ministry of Defance, Serbia
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/e3cb6014f1ec4b7fa4de3c512b93003c |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:e3cb6014f1ec4b7fa4de3c512b93003c |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:e3cb6014f1ec4b7fa4de3c512b93003c2021-11-10T07:27:57ZMigration of the retained intracranial bullet to the spinal canal: A case report0042-84502406-072010.2298/VSP200315033Lhttps://doaj.org/article/e3cb6014f1ec4b7fa4de3c512b93003c2021-01-01T00:00:00Zhttp://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000033L.pdfhttps://doaj.org/toc/0042-8450https://doaj.org/toc/2406-0720Introduction. Retained intracranial missiles migration is rarely reported. Most of the time, the missile will migrate and remain intracranially, but in extremely rare cases, it may reach the spinal canal. The aim of the study was to present a patient with this rare clinical entity. Case report. The 29-years-old male suffered from the gunshot wound to the head through the left external auditory meatus. The bullet was located in the posterior fossa. Initial debridement without bullet removal was performed. Four months after the injury, the patient came back complaining of neck stiffness and progressive weakness of all extremities. Plain radiography revealed the bullet in the spinal canal at the level of C2 vertebra and computed tomography confirmed localization in the posterior aspect. An emergency procedure was performed for bullet removal and spinal cord decompression. Conclusion. The bullets tend to migrate. Migration to the spinal canal is rare, but takes a significant risk, due to the potential secondary injury. The removal of a bullet at-all-costs may not be justified. However, the prediction of migration based on the predisposing factors would be of great value to treating these patients adequately.Lepić MilanMinić LjubodragStefanović SlavišaNovaković NenadLokaj AleksandraPavlićević GoranMilitary Health Department, Ministry of Defance, Serbiaarticlehead injuries, penetratingneurosurgeryspinal cord compressionMedicine (General)R5-920ENSRVojnosanitetski Pregled, Vol 78, Iss 10, Pp 1103-1107 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN SR |
| topic |
head injuries, penetrating neurosurgery spinal cord compression Medicine (General) R5-920 |
| spellingShingle |
head injuries, penetrating neurosurgery spinal cord compression Medicine (General) R5-920 Lepić Milan Minić Ljubodrag Stefanović Slaviša Novaković Nenad Lokaj Aleksandra Pavlićević Goran Migration of the retained intracranial bullet to the spinal canal: A case report |
| description |
Introduction. Retained intracranial missiles migration is rarely reported. Most of the time, the missile will migrate and remain intracranially, but in extremely rare cases, it may reach the spinal canal. The aim of the study was to present a patient with this rare clinical entity. Case report. The 29-years-old male suffered from the gunshot wound to the head through the left external auditory meatus. The bullet was located in the posterior fossa. Initial debridement without bullet removal was performed. Four months after the injury, the patient came back complaining of neck stiffness and progressive weakness of all extremities. Plain radiography revealed the bullet in the spinal canal at the level of C2 vertebra and computed tomography confirmed localization in the posterior aspect. An emergency procedure was performed for bullet removal and spinal cord decompression. Conclusion. The bullets tend to migrate. Migration to the spinal canal is rare, but takes a significant risk, due to the potential secondary injury. The removal of a bullet at-all-costs may not be justified. However, the prediction of migration based on the predisposing factors would be of great value to treating these patients adequately. |
| format |
article |
| author |
Lepić Milan Minić Ljubodrag Stefanović Slaviša Novaković Nenad Lokaj Aleksandra Pavlićević Goran |
| author_facet |
Lepić Milan Minić Ljubodrag Stefanović Slaviša Novaković Nenad Lokaj Aleksandra Pavlićević Goran |
| author_sort |
Lepić Milan |
| title |
Migration of the retained intracranial bullet to the spinal canal: A case report |
| title_short |
Migration of the retained intracranial bullet to the spinal canal: A case report |
| title_full |
Migration of the retained intracranial bullet to the spinal canal: A case report |
| title_fullStr |
Migration of the retained intracranial bullet to the spinal canal: A case report |
| title_full_unstemmed |
Migration of the retained intracranial bullet to the spinal canal: A case report |
| title_sort |
migration of the retained intracranial bullet to the spinal canal: a case report |
| publisher |
Military Health Department, Ministry of Defance, Serbia |
| publishDate |
2021 |
| url |
https://doaj.org/article/e3cb6014f1ec4b7fa4de3c512b93003c |
| work_keys_str_mv |
AT lepicmilan migrationoftheretainedintracranialbullettothespinalcanalacasereport AT minicljubodrag migrationoftheretainedintracranialbullettothespinalcanalacasereport AT stefanovicslavisa migrationoftheretainedintracranialbullettothespinalcanalacasereport AT novakovicnenad migrationoftheretainedintracranialbullettothespinalcanalacasereport AT lokajaleksandra migrationoftheretainedintracranialbullettothespinalcanalacasereport AT pavlicevicgoran migrationoftheretainedintracranialbullettothespinalcanalacasereport |
| _version_ |
1718440518133743616 |