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DOI: 10.1055/s-0041-1724142
Arrow-Shot Injury to Pediatric Spinal Cord
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 populationPublikationsverlauf
Artikel online veröffentlicht:
23. Februar 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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References
- 1 Al-Janabi T, Nayeem N, Smallman W. Stab wound to the neck–a rare presentation. Eur J Emerg Med 2001; 8 (01) 55-56
- 2 Benzel EC, Hadden TA, Coleman JE. Civilian gunshot wounds to the spinal cord and cauda equina. Neurosurgery 1987; 20 (02) 281-285
- 3 Roach MJ, Chen Y, Kelly ML. Comparing blunt and penetrating spinal cord injury. Analysis of long term functional and neurological outcomes. Top Spinal Cord Inj Rehabil 2018; 24 (02) 121-132
- 4 Kramer MM, Acker A, Ohana N. Penetrating spinal cord injury. In: Dionyssiotis Y. Essentials of Spinal Cord Injury Medicine. London, United Kingdom: Intechopen 2018: 564
- 5 Copley PC, Tilliridou V, Kirby A, Jones J, Kandasamy J. Management of cervical spine trauma in children. Eur J Trauma Emerg Surg 2019; 45 (05) 777-789
- 6 Rajmohan B. Brown-Séquard syndrome following stab injury. ANZ J Surg 2006; 76 (08) 760-762
- 7 Snacker MB, Sheperd MJ, Collin Wf. et al A random control trial of methiprednisolone or naloxone in treatment of acute spinal cord injury. Res Second NASCIS N Eng J Med 1990; 322: 1405-1411
- 8 Bonnes S, Smith C. Initial managementof acute spinal cord injury. Contin Educ Anaesth Crit Care Pain 2013; 13 (06) 224-231