Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology

Swapnil Hajare; Ajoy Shetty; Karthik Ramachandran; Rajasekaran Shanmuganathan

doi:10.1055/s-0042-1750310

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(02): 371-374
DOI: 10.1055/s-0042-1750310

Case Report

Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology

Swapnil Hajare

¹Department of Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

,

Ajoy Shetty

¹Department of Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

,

Karthik Ramachandran

¹Department of Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

,

Rajasekaran Shanmuganathan

¹Department of Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

› Institutsangaben

Abstract

Nonmissile penetrating spine injury (NMPSI) is usually encountered in young men, secondary to knife-inflicted injuries. Such injuries often present with complete or incomplete neurodeficit. We hereby report a case of NMPSI (due to impaled knife blade) in the cervical spine, who presented with intact neurology. She was managed by foreign body removal, dural repair, and cerebrospinal fluid (CSF) diversion with lumbar drain. We performed postoperative magnetic resonance imaging with diffusion tensor imaging and tractography to ascertain the cord status. The case highlights the importance of whole-body computed tomography in patients with multiple stab wounds and the use of CSF diversion in such situations.

Keywords

impaled knife - penetrating spine injury - whole-body CT scan

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Referenzen

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