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Intraventricular migration of a pellet is an unusual complication of a gunshot missile injury to the brain. Herein, we report the case of a 58 year-old man with a gunshot pellet that migrated by its mere tiny size, weight and cerebrospinal fluid pulsation from the lateral ventricle through the third ventricle, aqueduct of Sylvius to the fourth ventricle without accompanying clinical nor radiological manifestations. The pellet was thus managed expectantly. The patient was closely followed-up fordoi:10.4172/2165-7920.s3-003 fatcat:vz2gzdunkfcirhrnrwvcl5bhie