Egypt						                            
                            
						
 Case Report
												Migrating Intraventricular Gunshot Pellet: A Case Report 						
Author(s): Ignatius N  Esene, Ahmed M  Ashour, Omar  Youssef, Mohamed Wael Samir  Mahmoud and Alaa FahkrIgnatius N  Esene, Ahmed M  Ashour, Omar  Youssef, Mohamed Wael Samir  Mahmoud and Alaa Fahkr             
						
												
				 Intraventricular migration of a pellet is an unusual complication of a gunshot missile injury to the brain. Herein, we report the case of a 58 year-old man with a gunshot pellet that migrated by its mere tiny size, weight and cerebrospinal fluid pulsation from the lateral ventricle through the third ventricle, aqueduct of Sylvius to the fourth ventricle without accompanying clinical nor radiological manifestations. The pellet was thus managed expectantly. The patient was closely followed-up for short term complications such as hydrocephalus, infection and in the long run will be monitored for syrinx. He remained symptom-free and serial CT brain till 6 months after injury revealed the pellet still lodged in the fourth ventricle. Instances of similar phenomena reported in the literature are also reviewed and discussed.
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												DOI:
												 10.4172/2165-7920.S3-003 
																	  
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report