Wandering intracranial bullet

Multidirectional migration of bullets has been reported infrequently in the literature. The Surgical retrieval of an intracranial migrating bullet is suggested because of its capacity to produce an additional neurological deficit. Intraoperative image guidance using the C arm is indicated in all intracranial migrating metallic foreign bodies following gunshot injury. A rare case of migrating bullet fragment in its trajectory with the migration of metallic fragment in both cerebral hemispheres is reported, and relevant literature is reviewed.