Spontaneous migration of retained intracranial missiles: experience with 16 cases

Darwazeh, Rami; Darwazeh, Mazhar; Sun, Xiaochuan

doi:10.1007/s10143-022-01763-x

Cited by 3 publications

(2 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moores concluded that migration did not usually change initial surgical management and that the fragment size and proximity to critical structures, including CSF outflow obstruction, should be used to determine the need for removal. 12 There are many instances in the literature where a strategy of nonremoval has acceptable outcomes, 7 , 16 , 17 but even though our patient did not have frank CSF obstruction, we felt that the position of the fragment within the lateral ventricle and its rapid migration mandated its removal. Aydoseli et al described a case in which intraventricular bullet migration caused hydrocephalus weeks after initial presentation.…”

Section: Discussionmentioning

confidence: 77%

Wartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case

Sirko,

Valadka,

Armonda

et al. 2024

J Cosmet Laser Ther

View full text Add to dashboard Cite

BACKGROUND Transnasal transsphenoidal penetrating craniocerebral injury is very rare even in wartime. Cases with good outcomes are even less common. OBSERVATIONS A 20-year-old male sustained multiple fragment wounds to his head and face from a landmine explosion. One metal fragment entered his right nostril, traversed the nasal septum and anterior sphenoid sinus, and ricocheted superiorly off the clivus. The fragment then traveled almost to the surface of the left parietal lobe. Subsequently, under its own weight, it migrated back down its original track. The patient suffered cerebrospinal fluid rhinorrhea, pneumocephalus, and right-sided hemiparesis. Digital subtraction angiography was followed by microscopic transnasal skull base reconstruction supplemented by external lumbar drainage. Follow-up brain computed tomogrpahy showed further metallic fragment migration through the ventricular system. The fragment was removed through a transcortical approach. The patient’s neurological examination and brain magnetic resonance imaging results demonstrated good recovery. LESSONS The absence of external signs of deep injuries does not exclude the presence of a penetrating craniocerebral injury. Metal fragments may undergo ricochet and internal migration in both the brain parenchyma and the ventricular system. Timely diagnosis including three-dimensional reconstruction of a projectile’s trajectory may facilitate appropriate surgical planning in complex cases. Intraventricular fragment migration may necessitate microsurgical removal. https://thejns.org/doi/10.3171/CASE24128

show abstract

Section: Discussionmentioning

confidence: 77%

Wartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case

Sirko,

Valadka,

Armonda

et al. 2024

J Cosmet Laser Ther

View full text Add to dashboard Cite

show abstract

“…and the initial intracranial location (e.g., the foreign body is not easily displaced when proximity to bone, blood vessels, meninges, etc.) [ 6 , 25 ]. There is still considerable controversy regarding the management of intracranial foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

Right-to-Left Displacement of an Airgun Lead Bullet after Transorbital Entry into the Skull Complicated by Posttraumatic Epilepsy : A Case Report

Wang¹,

Wang²,

Zhao³

et al. 2023

J Korean Neurosurg Soc

View full text Add to dashboard Cite

Penetrating head injury is a serious open cranial injury. In civilians, it is often caused by non-missile, low velocity flying objects that penetrate the skull through a weak cranial structure, forming intracranial foreign bodies. The intracranial foreign body can be displaced due to its special quality, shape, and location. In this paper, we report a rare case of right-to-left displacement of an airgun lead bullet after transorbital entry into the skull complicated by posttraumatic epilepsy, as a reminder to colleagues that intracranial metal foreign bodies maybe displaced intraoperatively. In addition, we have found that the presence of intracranial metallic foreign bodies may be a factor for the posttraumatic epilepsy, and their timely removal appears to be beneficial for epilepsy control.

show abstract

Rubber bullet-related craniocerebral injuries

Darwazeh¹,

Darwazeh²,

Elzain

et al. 2022

British Journal of Surgery

View full text Add to dashboard Cite

Spontaneous migration of retained intracranial missiles: experience with 16 cases

Cited by 3 publications

References 55 publications

Wartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case

Wartime penetrating skull base trauma with unpredictable internal fragment ricochet and migration: illustrative case

Right-to-Left Displacement of an Airgun Lead Bullet after Transorbital Entry into the Skull Complicated by Posttraumatic Epilepsy : A Case Report

Rubber bullet-related craniocerebral injuries

Contact Info

Product

Resources

About