Shotgun pellet embolization to the posterior cerebral circulation.
The embolization of missiles to the intracranial circulation is a rare event. We describe here a case of a man shot by a shotgun, presenting with a posterior fossa stroke and occlusion of the superior cerebellar artery by a metallic pellet. To our knowledge, this is the third case of posterior fossa circulation pellet emboli.
Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
L B
LB
da Costa
M C
MC
Wallace
W
W
Montanera
D000368:Aged; D002524:Cerebellar Ataxia / Q000000981:diagnostic imaging; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional; D020762:Infarction, Posterior Cerebral Artery / Q000000981:diagnostic imaging*; D020766:Intracranial Embolism / Q000000981:diagnostic imaging*; D008297:Male; D019838:Neck Injuries / Q000000981:diagnostic imaging*; D009460:Neurologic Examination; D012782:Shoulder / Q000000981:diagnostic imaging; D000070599:Shoulder Injuries; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging*; D014711:Vertebral Artery / Q000000981:diagnostic imaging; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging*