Document Detail

Ricochet of a bullet in the spinal canal: a case report and review of the literature on bullet migration.
MedLine Citation:
PMID:  20456577     Owner:  NLM     Status:  In-Process    
Ricochet of a bullet in the spinal canal is well known by neurosurgeons but relatively not a common event in usual medico-legal autopsy practice. This article presents a homicide case of a penetrating gunshot injury of the lumbar spine through the T12-L1 intervertebral foramen with active movement of the projectile within the spinal canal to the L5-S1 level. This case illustrates a bullet intradural and intramedullary active movement because of a ricochet of the body of T12 with active redirection of the path. In the current literature, different types of migration in caudal or cranial direction, intradural, or intramedullary are reported. If spontaneous migration of T10 to S1 seems to be more frequent, some authors reported a C1 to S2 migration. Such migration could be asymptomatic or induce neurological impairment. The medico-legal consequences of these migrations within the spinal canal are described.
Audrey Farrugia; Jean-sébastien Raul; Annie Géraut; Bertrand Ludes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of forensic sciences     Volume:  55     ISSN:  1556-4029     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-11-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1371-4     Citation Subset:  IM    
Copyright Information:
© 2010 American Academy of Forensic Sciences.
Institute of Legal Medicine, University of Strasbourg, Strasbourg, France.
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