Unusual pneumoencephalogram following fragment wound of the brain. Case report

Spontaneous migration of an intracranial bullet to the cervical spinal canal causing Lhermitte's sign. Case report

A case is presented of a woman who was shot in the left occipital area with a .32 caliber automatic pistol. She was neurologically intact on admission, and skull x-ray films revealed the bullet in the right suboccipital area. On the 2nd day of the admission she developed Lhermitte's sign. Repeat films showed that the bullet had migrated to the C-4 vertebral level. The bullet was subsequently removed via a total laminectomy at C3-4.

Bullet within the fourth ventricle. Case report

✓ A woman, shot in the left parietal area with a small caliber pistol, appeared moribund upon admission to the emergency room but rapidly stabilized and became more arousable. In the fifth week following injury, a pneumoencephalogram demonstrated the bullet lying free within the fourth ventricle; it was subsequently removed from the cisterna magna without difficulty. The patient has made progressive neurological improvement. Other reports concerning intraventricular foreign bodies are reviewed and discussed.

Use of centrifuge in the treatment of an intraventricular metallic foreign body. Technical note

✓ A bullet fragment within the ventricular system was immobilized by use of centrifugation in a 5°-of-freedom-of-motion simulator at 4 to 6 G's. Transient cardiovascular changes occurred, but there were no ill effects clinically. The bullet fragment was immobilized within the ependyma of the left lateral ventricle and has remained in a fixed position during a 22-month follow-up period. A brief review of the treatment of intraventricular foreign bodies is included.