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Case Reports
Delayed oedema in the pyramidal tracts remote from intracerebral missile path following gunshot injury.
- R Thiex, A Thron, and E Uhl.
- Department of Neurosurgery, Aachen University, Pauwelsstrasse 30, 52057 Aachen, Germany. ruth.thiex@post.rwth-aachen.de
- Neuroradiology. 2004 Feb 1;46(2):140-3.
AbstractA 60-year-old man developed a severe left hemiparesis and central facial palsy, accompanied by somnolence and dysarthria 9 days after a gunshot wound to the right temporal region, from which he slowly recovered over 3 months. MRI disclosed bilateral oedema of the pyramidal tracts. This was interpreted as a consequence of the impact of the pressure wave caused by the bullet, after excluding an infectious or vascular cause.
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