Delayed neurological symptoms from the spontaneous migration of a bullet in the lumbosacral spinal canal. Case report.
In a patient wounded by a gunshot in the abdomen, the bullet was radiologically located intradurally at S1 level. Although she had no neurological deficit at admission, she developed pain and motor weakness a few days later. At operation the bullet was found at L4 level and its removal resulted in complete neurological recovery.
Department of Orthopaedic Surgery, Bayindir Medical Centre, Ankara, Turkey.
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Avci
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Açikgöz
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Gündoğdu
D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D009069:Movement Disorders / Q000209:etiology / Q000503:physiopathology*; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology*; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology