Spontaneous movement of bullets in the brain

We report two patients in whom bullets in the brain migrated into the adjacent lateral ventricle and moved freely as a consequence of gravity. A review of the literature suggests that the spontaneous migration of intracerebral bullets is influenced by cerebral softening, the specific gravity of the...

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Veröffentlicht in:	Neurosurgery 1993-01, Vol.32 (1), p.140-143
Hauptverfasser:	Milhorat, T H, Elowitz, E H, Johnson, R W, Miller, J I
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Brain - diagnostic imaging Brain - surgery Brain Injuries - diagnostic imaging Brain Injuries - surgery Foreign-Body Migration - diagnostic imaging Foreign-Body Migration - surgery Frontal Lobe - diagnostic imaging Frontal Lobe - injuries Frontal Lobe - surgery Humans Male Occipital Lobe - diagnostic imaging Occipital Lobe - injuries Occipital Lobe - surgery Radiography Wounds, Gunshot - diagnostic imaging Wounds, Gunshot - surgery
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Beschreibung
Zusammenfassung:	We report two patients in whom bullets in the brain migrated into the adjacent lateral ventricle and moved freely as a consequence of gravity. A review of the literature suggests that the spontaneous migration of intracerebral bullets is influenced by cerebral softening, the specific gravity of the bullet compared with brain tissue, and the sink function of the cerebral ventricles. In patients undergoing the surgical removal of intracerebral or intraventricular bullets, it is recommended that an x-ray be obtained after the final positioning of the head.
ISSN:	0148-396X