Citation

Hammed A, Mahfoud M, Sulaiman A. J. Surg. Case Rep. 2021; 2021(4): rjab105.

Copyright

(Copyright © 2021, Oxford University Press)

DOI

10.1093/jscr/rjab105

PMID

33927852

PMCID

PMC8055212

Abstract

Cranial gunshot wounds (CGSWs) are the most lethal types of the cranial traumas and they are usually mortal. Falling bullets or gravitational bullets are the ones that move under the effect of the gravity force after the muzzle force diminished. CGSWs constitute a major clinical challenge for neurosurgeons dealing with trauma in both the military and civil experience. We report the case of a 21-year-old man with a falling bullet wound to the head. The decision of surgical treatment of a bullet injury is difficult if it is in close proximity to vital structures; removal of the bullet may cause significant neurological damage; however, migration can lead to a worsening of the neurological status of the patient. Before surgical removal of any intracranial bullet, as valuable information, it is recommended that a plain skull X-ray be obtained after final positioning of the head.

Keywords: Celebratory Gunfire

Language: en

Keywords

cranial gunshot wounds; falling bullet; intraoperative X-ray; migration