{"id":"5e44dbc8-c6bf-444d-98b4-fa4b74896152","slug":"careening-intracranial-bullets-an-existing-entity","title":"Careening intracranial bullets: An existing entity?","authors":["Samer S. Hoz","Zahraa F. Al-Sharshahi","Abdullah Husain AlRamadan","Baha’eddin Muhsen","Salih O. Al-Ani"],"abstract":"Background: Careening intracranial bullets (CIBs) are defined as bullets that, after penetrating the skull, change direction to travel along the cortex without entering the brain parenchyma. There is controversy regarding the definition of CIBs, with some authorities specifying that only bullets lodged in the epidural space without lacerating the dura are considered careening. A literature search revealed no published cases of such injuries, raising questions about their existence as a distinct entity. Summary: This letter discusses the obscurities surrounding CIBs and the need for accurate terminology in classifying intracranial gunshot wounds. The authors suggest that further studies are necessary to explore the ballistic feasibility of CIBs and to examine existing registries of cranial gunshot wounds. The aim is to ascertain whether CIBs occur and to determine their potential implications for management and prognosis. Conclusion: The existence and significance of CIBs warrant further investigation to enhance the understanding and classification of intracranial gunshot wounds. Proving or disproving the existence of CIBs could enrich the literature and improve clinical management strategies. Keywords: careening bullets, intracranial gunshot wounds, neurosurgery, ballistics, classification, cranial injuries","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/trauma.png","publishDate":"2021-06-21T00:00:00.000Z","doi":"10.25259/SNI_470_2021","categories":["Trauma","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/5e44dbc8-c6bf-444d-98b4-fa4b74896152/pdf"}