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Case Report
Spontaneous bullet migration- uncommon sequelae of firearm injury to the
brain
Raj Kumar M Ch, Pallav Garg M S,Vijendra Maurya M S, Rabi Narayan Sahu
M Ch, A K Mahapatra M Ch
Department of Neurosurgery Sanjay Gandhi Postgraduate Institute of
Medical Sciences, Lucknow - 226014
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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.
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__________________________________________________________________________________________________________
Address for correspondence:
Raj Kumar Professor,
Department of Neurosurgery
Sanjay Gandhi Post Graduate Institute of Medical Sciences
Lucknow - 226014, U.P.
Phone No. 0522-2668700, 2668800 Ext. 2157 (C), 2158 (R), 2107 (OT),
2741 (O)
Fax No.: 91(522) 2668129 & 2668017
E -mail: rajkumar@sgpgi.ac.in, rajkumar1959@gmail.com
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