Delayed oedema in the pyramidal tracts remote from intracerebral missile path following gunshot injury.
A 60-year-old man developed a severe left hemiparesis and central facial palsy, accompanied by somnolence and dysarthria 9 days after a gunshot wound to the right temporal region, from which he slowly recovered over 3 months. MRI disclosed bilateral oedema of the pyramidal tracts. This was interpreted as a consequence of the impact of the pressure wave caused by the bullet, after excluding an infectious or vascular cause.
Thiex
R
R
Department of Neurosurgery, Aachen University, Pauwelsstrasse 30, 52057 Aachen, Germany. ruth.thiex@post.rwth-aachen.de
Thron
A
A
Uhl
E
E
D001929:Brain Edema / Q000175:diagnosis*; D001930:Brain Injuries / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D004292:Dominance, Cerebral / Q000502:physiology; D004401:Dysarthria / Q000209:etiology; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis / Q000601:surgery; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011712:Pyramidal Tracts / Q000293:injuries* / Q000473:pathology; D012887:Skull Fractures / Q000175:diagnosis; D013406:Suicide, Attempted; D013701:Temporal Bone / Q000293:injuries; D013702:Temporal Lobe / Q000293:injuries* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000175:diagnosis* / Q000601:surgery