Introduction: Cranial gun shot injury usually has high mortality and morbidity. Individuals who survive and have retained bullets may exhibit a rare phenomenon of bullet migration which can cause delayed neurological worsening.
Methods: An interesting case record of a young person with retained intracranial bullet which showed migration, is presented and the management issues are discussed.
Results: A long term follow up is indicated in individuals with retained bullet/s following cranial gun shot injury even though they may be neurologically intact.
Conclusions: A migrating retained intracranial bullet can pose management dilemma to treating neurosurgeons.
Patient Care: Retained intracranial bullet migration is a rare phenomenomenon and management issues which may arise in such patients are discussed in light of currently available evidence.
Learning Objectives: By the conclusion of presentation participants should be able to 1) know the management guidelines of retained intracranial bullet/s; 2)realise the importance of long term follow up even in neurologically intact patients.