title: Delayed Cauda Equina syndrome due to a migratory bullet.
abstract: A 35 years old man presented with Cauda Equina syndrome caused by a bullet migrating down the spinal canal. The patient initially showed no neurological deficits after the gunshot injury but after 15 months he presented again with urinary and fecal incontinence. Lumbo-sacral X-ray showed a bullet at the level of L5-S1 so he was operated under fluoroscopic guidance. Patient's neurological deficits improved after the operation. In authors' opinion it is vital to do follow-up after a gunshot injury to detect migrating bullet. Decompression of Cauda Equina should be done as soon as the neurological deficits occur.
authors.affiliation: Department of Neurosurgery, Dow University of Health Sciences (DUHS), Civil Hospital, Karachi.
authors.forename: Shiraz Ahmed
authors.initials: SA
authors.lastname: Ghori
authors.affiliation: Department of Medical Student, Dow University of Health Sciences (DUHS), Civil Hospital, Karachi.
authors.forename: Muhammad Shahzeb
authors.initials: MS
authors.lastname: Khan
authors.affiliation: Department of Medical Student, Dow University of Health Sciences (DUHS), Civil Hospital, Karachi.
authors.forename: Faizan Imran
authors.initials: FI
authors.lastname: Bawany
mesh_terms: D000328:Adult; D019299:Decompression, Surgical; D004388:Dura Mater / Q000000981:diagnostic imaging; D005242:Fecal Incontinence / Q000209:etiology; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011128:Polyradiculopathy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery