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Unusual Intraventricular Bullet Migration During Operation: A Case Report on Treatment Strategies
Fernando De Nigris Vasconcellos1, Augusto Müller Fiedler2, Pedro Biasi3
1Department of Neurosurgery, NYU (New York University) Langone Health, New York, USA.
Cureus
|August 9, 2023
Summary
This case report details a rare gunshot head injury with an intraventricular bullet. Prompt surgical removal led to a favorable outcome, emphasizing tailored management for such complex neurosurgical cases.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Emergency Medicine
Background:
- Gunshot head injuries present significant challenges in urban environments.
- Intraventricular bullet lodgment is a rare but critical complication.
Observation:
- A patient presented with an intraventricular bullet after a gunshot head injury.
- Initial neuroimaging revealed bullet migration within the ventricular system.
- The patient exhibited no significant neurological deficits upon presentation.
Findings:
- Surgical intervention was performed for bullet removal.
- Postoperative recovery was favorable.
- The case highlights successful management of intraventricular bullet migration.
Implications:
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
- Tailored management strategies are essential for complex neurotrauma.
- This case contributes to understanding the neurosurgical management of intraventricular foreign bodies.

