title: Intracranial ricocheting of bullet from anterior clinoid process.
abstract: Gunshot wounds to the head are usually mortal injuries. We present a unique case of intracranial ricocheting of bullet without neurological deficits. Patient was treated conservatively with antibiotics for one week and prophylactic anticonvulsants for six weeks. Patient is doing well at six months follow up. Repeat X-ray skull showed that bullet was lying in the occipital region. It is recommended that deep seated bullets should be left behind as any attempt to remove that bullet may increase the morbidity and mortality. However close follow up of these patients is very important as these patients may come back with brain abscess.
authors.affiliation: Department of Surgery, BPKIHS, Dharan, Nepal. dramitagrawal@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Agrawal
authors.forename: A
authors.initials: A
authors.lastname: Pratap
authors.forename: R K
authors.initials: RK
authors.lastname: Rauniar
authors.forename: A
authors.initials: A
authors.lastname: Kumar
authors.forename: U
authors.initials: U
authors.lastname: Nepal
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D009778:Occipital Lobe; D010296:Parietal Lobe; D014948:Wounds, Gunshot / Q000150:complications* / Q000175:diagnosis / Q000628:therapy