Migratory Intrathecal Bullet: a case report detailing the technique for bullet removal
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Published:
Apr 30, 2011
Keywords:
gunshot injury migratory bullet intrathecal
Main Article Content
Abstract
The literature contains few reports of migratory intrathecal bullets. Treatment of this kind of injury remains controversial. This paper presents one case of a migratory intrathecal bullet at the lumbar level. A Foley catheter was used to effect its removal. This alternative technique demonstrated a safe and simple method of treatment.
Article Details
Section
Case Report
References
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2. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res. 2003; 408: 120-5.
3. Moon E, Kondrashov D, Hannibal M, Hsu K, Zucherman J. Gunshot wounds to the spine: literature review and report on a migratory intrathecal bullet. Am J Orthop (Belle Mead NJ). 2008; 37(3): E47-51.
4. Cagavi F, Kalayci M, Seckiner I, Cavagi Z, Gul S, Atasoy HT, et al. Migration of a bullet in the spinal canal. J Clin Neurosci. 2007; 14(1): 74-6.
5. Kafadar AM, Kemerdere R, Isler C, Hanci M. Intradural migration of a bullet following spinal gunshot injury. Spinal Cord. 2006; 44(5): 326-9.
6. Richards JS, Stover SL, Jaworski T. Effect of bullet removal on subsequent pain in persons
with spinal cord injury secondary to gunshot wound. J Neurosurg. 1990; 73(3): 401-4.
7. Stauffer ES, Wood RW, Kelly EG. Gunshot wounds of the spine: the effects of laminectomy. J Bone Joint Surg Am. 1979; 61: 389-92.
8. Ben GP, Reitman CA. Intrathecal migratory foreign body without neurological deficit after a gunshot wound. Spine J. 2008; 8(2): 404-7.
9. Basu B, Thumbikat P, McClleland M. Unusual whole length intraspinal migration of a pellet following gun shot injury. BJPRM. 2010: 14-6.
10. Spakauskas B, Ambrozaitis KV, Kontautas E. The bullet in the dural sac. How to catch it? A report of two cases. Medicina (Kaunas). 2007; 43(6): 478-81.
11. Singh R, Sanjeev A, Siwach R, Magu NK, Sangwan SS. Spontaneous migration of intradural bullet during surgery - A case report and review of the literature. Annals of Neurosurg. 2007; 7(2): 1-7.
12. Tumialan LM, Walkup RR, Gupta SK. Minimally invasive retrieval of a bullet from the L5-S1 neural foramina after transperitoneal gunshot wound. Spine J. 2009; 9(2): 169-73.
13. Levine AM, McAfee PC, Anderson PA. Evaluation and emergent treatment of patients with thoracolumbar injuries. In: Jackson DW, eds. Instructional course lectures. 1st ed. Long Beach: AAOS. 1995; 44: 33-45.
14. Williams KD, Park AL. Lower back pain and disorders of intervertebral discs. In: Canale ST, Beaty JH, eds. Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby Elsevier. 2008: 2159-236.
Romanick PC, Smith TK, Kopaniky DR, Oldfield D. Infection about the spine associated with low-velocity-missil e injury to the abdomen. J Bone Joint Surg Am. 1985; 67(8): 1195-201.
2. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res. 2003; 408: 120-5.
3. Moon E, Kondrashov D, Hannibal M, Hsu K, Zucherman J. Gunshot wounds to the spine: literature review and report on a migratory intrathecal bullet. Am J Orthop (Belle Mead NJ). 2008; 37(3): E47-51.
4. Cagavi F, Kalayci M, Seckiner I, Cavagi Z, Gul S, Atasoy HT, et al. Migration of a bullet in the spinal canal. J Clin Neurosci. 2007; 14(1): 74-6.
5. Kafadar AM, Kemerdere R, Isler C, Hanci M. Intradural migration of a bullet following spinal gunshot injury. Spinal Cord. 2006; 44(5): 326-9.
6. Richards JS, Stover SL, Jaworski T. Effect of bullet removal on subsequent pain in persons
with spinal cord injury secondary to gunshot wound. J Neurosurg. 1990; 73(3): 401-4.
7. Stauffer ES, Wood RW, Kelly EG. Gunshot wounds of the spine: the effects of laminectomy. J Bone Joint Surg Am. 1979; 61: 389-92.
8. Ben GP, Reitman CA. Intrathecal migratory foreign body without neurological deficit after a gunshot wound. Spine J. 2008; 8(2): 404-7.
9. Basu B, Thumbikat P, McClleland M. Unusual whole length intraspinal migration of a pellet following gun shot injury. BJPRM. 2010: 14-6.
10. Spakauskas B, Ambrozaitis KV, Kontautas E. The bullet in the dural sac. How to catch it? A report of two cases. Medicina (Kaunas). 2007; 43(6): 478-81.
11. Singh R, Sanjeev A, Siwach R, Magu NK, Sangwan SS. Spontaneous migration of intradural bullet during surgery - A case report and review of the literature. Annals of Neurosurg. 2007; 7(2): 1-7.
12. Tumialan LM, Walkup RR, Gupta SK. Minimally invasive retrieval of a bullet from the L5-S1 neural foramina after transperitoneal gunshot wound. Spine J. 2009; 9(2): 169-73.
13. Levine AM, McAfee PC, Anderson PA. Evaluation and emergent treatment of patients with thoracolumbar injuries. In: Jackson DW, eds. Instructional course lectures. 1st ed. Long Beach: AAOS. 1995; 44: 33-45.
14. Williams KD, Park AL. Lower back pain and disorders of intervertebral discs. In: Canale ST, Beaty JH, eds. Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby Elsevier. 2008: 2159-236.
Romanick PC, Smith TK, Kopaniky DR, Oldfield D. Infection about the spine associated with low-velocity-missil e injury to the abdomen. J Bone Joint Surg Am. 1985; 67(8): 1195-201.