Summary
Bullet embolization to intracranial branches of the major cerebral arteries is a rare complication of gunshot wounds. A review of the literature on cerebral vascular bullet embolization from peripheral sources revealed a number of single case reports that included 12 cases involving the anterior cerebral circulation, and one which involved the posterior circulation. This communication details two additional subjects who were treated at our institution.
This is a preview of subscription content, log in via an institution to check access.
References
Barret NR (1950) Foreign bodies in the cardio vascular system. Br J Surg 37: 416–445
Baumgartner MA (1919) Bullet wound of the heart: migration of the bullet into the common iliac artery, extraction, recovery. Bull Mem Soc Chir Paris 45: 632
Boeckel M (1917) Migration of a German bullet in a wounded man from the left ventricle into the left femoral artery. Lyon Med 126: 567
Cooper FW, Harris MH, Kahn TW (1948) Ligation and division of the abdominal aorta for metallic embolus from the heart: postoperative observation of the circulation in the extremities. Ann Surg 127: 1
Hungerford DG, Reines HD (1981) Shotgun pellet embolus to the posterior cerebral artery. AJNR 2: 185–186
Dowzenko A (1946) Rare case of embolus to middle cerebral artery caused by foreign body. Pol Tyg Lek 1: 1045–1047
Kapp JP, Gielchinsky I, Jelsma R (1973) Metallic fragments, embolization to cerebral circulation. J Trauma 13: 256–261
Kinmonth JB, Burton JD, Longmar DB, Cook WA (1961) Gunshot wounds of the heart with embolism. Removal of missiles from cardiac chambers with aid of extra corporal circulation. Br Med J 2: 1966–1968
Krayenbuhl H, Yasargil MG (1975) Die vaskuldren Erkrankungen im Gebiet der Arteria vertebralis und arteria basalis. Thieme, Stuttgart, S 45
Lecene P, Lhermitte J (1920) Une observation anatomo-clinique d'un cas de remollissement cerebral consecutif a l'obliteration d'artere sylvien gauche par une embolic metalique. Rev Neurol 27: 1116–1121
Lillard PL (1978) Five year's experience with penetrating craniocerebral gunshot wounds. Surg Neurol 9: 79–83
Mattox KL, Beal AC, Ennix CL, DeBakey ME (1979) Intravascular migratory bullets. Am J Surg 137: 192–195
Padar SC (1975) Air gun pellet embolizing the intracranial internal carotid artery. J Neurosurg 43: 222–224
Piazza G, Gaist G (1960) Occlusion of middle cerebral artery by foreign body embolus. J Neurosurg 17: 172–176
Rich NM, Collins GJ, Anderson CA, McDonald PT, Kozloff L, Ricotta JJ (1978) Missile emboli. J Trauma 18: 236–239
Trimble C (1968) Arterial bullet embolism following thoracic gunshot wounds. Ann Surg 168: 911–916
Van Gilder JC, Coxe WS (1970) Shotgun pellet embolus of the middle cerebral artery. Case report. J Neurosurg 32: 711–714
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dadsetan, M.R., Jinkins, J.R. Peripheral vascular gunshot bullet embolus migration to the cerebral circulation. Neuroradiology 32, 516–519 (1990). https://doi.org/10.1007/BF02426469
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02426469