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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:261-263, February 2006
© 2006 American Society of Neuroradiology

CASE REPORT
HEAD AND NECK

Shotgun Pellet Embolization to the Posterior Cerebral Circulation

L.B. da Costa^a,c, M.C. Wallace^a and W. Montanera^b

^a Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
^b Department of Neuroradiology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
^c Department of Neurosurgery, Fundacao Benjamin Guimaraes/Hospital da Baleia, Belo Horizonte, Brazil

Address correspondence to M. Christopher Wallace, Department of Surgery, Toronto Western Hospital, WW4-450, 399 Bathurst St., Toronto, Ontario, Canada M5T 2S8

SUMMARY: The embolization of missiles to the intracranial circulation is a rare event. We describe here a case of a man shot by a shotgun, presenting with a posterior fossa stroke and occlusion of the superior cerebellar artery by a metallic pellet. To our knowledge, this is the third case of posterior fossa circulation pellet emboli.