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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2022; 19(02): 105-107
DOI: 10.1055/s-0041-1724142
Case Report

Arrow-Shot Injury to Pediatric Spinal Cord

Vijayveer Singh
1   Department of Neurosurgery, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India
,
Sharad Thanvi
1   Department of Neurosurgery, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India
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Abstract

Penetrating spinal cord injuries (PSCI) in cervical region are extremely rare in pediatric population. Most injuries in pediatric population are accidental due to gunshot or a stab injury with a sharp or pointed object. Gun shots may result into a severe wound which is usually fatal and may result in death, quadriplegia, or serious long-term disability. Stab injuries are less severe and may result in neurological sequalae. In this paper, an unusual case of pediatric arrow shot partial cervical cord injury is reported which was managed by aggressive neurosurgical management. The arrow lodged in the cervical cord was very near to the vertebral artery leading to parapariesis which recovered well without any complications. Diagnostic imaging at admission included radiographs, computed tomography (CT), and CT angiography of the cervical region. The patient underwent early surgical intervention with removal of foreign body from the cord and subsequent dural suturing.

Keywords

Brown–Sequard syndrome - cervical spinal cord - hemilaminectomy - methylprednisolone - pediatric population


Publication History

Article published online:
23 February 2021

© 2021. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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