This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neurology, Other  • Alert me on articles by topic

Arch Neurol. 2003;60:280-281.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN A suicide attempt using an air rifle, a 49-year-old man suffered an oral gunshot. The bullet ended up close underneath the skull base and the patient survived (Figure 1, A). He was taken to the hospital where the projectile was surgically removed. Soon after the trauma he noticed a deviation of his tongue to the left. Two days later he developed a right-sided hemiparesis, Broca's aphasia, and a right homonymous hemianopia. On physical examination he also showed dysarthria, an incomplete left-sided Horner's syndrome, and a hypoglossal paresis without any wasting of the tongue (Figure 1 B). Cranial magnetic resonance imaging (MRI) revealed a left middle cerebral artery and a posterior cerebral artery infarction. The only abnormality seen on MRI was the fetal origin of the posterior cerebral artery. T1-weighted, fat-suppressed axial MRI scan as well as duplex ultrasound images confirmed a dissection of the left internal . . . [Full Text of this Article]

COMMENT