Medical Must-See: Shot through the arm, lodged in the brain

Right-side hemiparesis and altered mental status were initially suggestive of stroke or meningitis, doctors say.
Rachel Fieldhouse
Bullet and metallic shrapnel visible in CT localiser scan.

Emergency doctors have described an unusual case of a missing bullet from a shoulder wound that was eventually found in the patient’s brain three days later, but without major organ damage.

The man, in his 20s, presented to the Aga Khan University Hospital ED in Karachi, Pakistan with an altered mental status and right arm weakness.