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Intracranial moving bullet syndrome.

机译:颅内移动子弹综合征。

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摘要

Moving bullet within the brain parenchyma is rarely reported. There are a few case reports in the literature exhibiting intracerebral bullet migration, causing progressive neurological deficits. The present report describes a unique case of bullet impaction within the brain parenchyma and its dynamic movement, without any added neurological deficits. A 39-year-old male suffered a gunshot injury and an open wound at the frontal region. The open wound was sutured, which healed well, and the patient was referred to a higher center. A computed tomography (CT) scan at that time revealed a bullet in the posterior frontal cortex, just lateral to the midline [Figure 1]. As the patient was asymptomatic, no intervention was undertaken. At 5 months of follow-up, the patient underwent check CT scan, which showed bullet migration to the right parieto-occipital region, away from the midline [Figure 2]. Again, the asymptomatic state of the patient prevented us from undertaking bullet extraction. At 2.5 years of follow-up, the patient remains symptom free.
机译:在脑实质内移动子弹的报道很少。文献中有一些病例报告显示脑内子弹迁移,导致进行性神经功能缺损。本报告描述了脑实质内子弹撞击及其动态运动的独特情况,没有任何神经系统缺陷。一名39岁的男性在额叶区域遭受枪击伤害和开放性伤口。伤口被缝合,愈合良好,患者被转诊至较高的中心。当时的计算机断层扫描(CT)扫描显示,在正中线外侧的后额叶皮层中有一颗子弹[图1]。由于患者无症状,因此无需进行干预。在随访的5个月中,患者接受了CT扫描检查,结果显示子弹迁移到右侧顶枕区域,远离中线[图2]。再次,患者的无症状状态阻止我们进行子弹提取。在2.5年的随访中,患者保持无症状。

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