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They highlight the potential complications associated with both OPIs and intravascular foreign body migration and occlusion by describing the patient\u2019s presentation, results of imaging evaluation, and the combined endovascular treatment and extracranial-intracranial bypass, which resulted in rapid restoration of blood flow and full neurological recovery with intact vision. Based on this case and a review of the literature on intracranial foreign body migration with resultant vascular occlusion, the authors recommend that complex OPIs be treated at centers that offer both neuroendovascular and neurovascular surgical capabilities on an urgent basis to manage both the primary injury and potential secondary vascular compromise.<\/jats:p>","DOI":"10.3171\/2017.8.peds17320","type":"journal-article","created":{"date-parts":[[2017,12,22]],"date-time":"2017-12-22T14:56:29Z","timestamp":1513954589000},"page":"270-277","source":"Crossref","is-referenced-by-count":7,"title":["Air gun orbitocranial penetrating injury: emergency endovascular treatment and surgical bypass following pellet migration to middle cerebral artery: case report"],"prefix":"10.3171","volume":"21","author":[{"given":"Eric S.","family":"Nussbaum","sequence":"first","affiliation":[{"name":"National Brain Aneurysm Center, Department of Neurosurgery, United Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Graupman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Gillette Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James K.","family":"Goddard","sequence":"additional","affiliation":[{"name":"St. Paul Radiology, St. Paul, Minnesota; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin M.","family":"Kallmes","sequence":"additional","affiliation":[{"name":"Duke University School of Law, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Surgery","first-page":"376","article-title":"Wandering intravascular missiles: report of five cases from the Lebanon war","volume":"103","author":"Abdo F","year":"1988","unstructured":"Abdo F, Massad M, Slim M, Fahl M, Saba M, Najjar F, : Wandering intravascular missiles: report of five cases from the Lebanon war. 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