Delayed Cauda Equina syndrome due to a migratory bullet.

A 35 years old man presented with Cauda Equina syndrome caused by a bullet migrating down the spinal canal. The patient initially showed no neurological deficits after the gunshot injury but after 15 months he presented again with urinary and fecal incontinence. Lumbo-sacral X-ray showed a bullet at the level of L5-S1 so he was operated under fluoroscopic guidance. Patient's neurological deficits improved after the operation. In authors' opinion it is vital to do follow-up after a gunshot injury to detect migrating bullet. Decompression of Cauda Equina should be done as soon as the neurological deficits occur.