Stereotactic localization and removal of a bullet in the third ventricle causing obstructive hydrocephalus after a cerebral gunshot wound: case report.
A bullet, lodged in the pineal-posterior region of the third ventricle and causing obstructive hydrocephalus, was removed without damage to critical adjacent vascular structures using stereotactic localization followed by laser-guided stereotactic craniotomy. Stereotactic techniques provided precise target localization and allowed dissection to be restricted to the previously injured missile track, thus avoiding any additional morbidity from the surgical procedure.
Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania.
M E
ME
Linskey
D
D
Kondziolka
D W
DW
Marion
D000328:Adult; D002552:Cerebral Ventricles / Q000293:injuries* / Q000601:surgery*; D014695:Cerebral Ventriculography; D003399:Craniotomy / Q000379:methods; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D008297:Male; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*