Bilateral Multiple Cervical Root Avulsions without Skeletal or Ligamentous Damage Resulting from Blast Injury: Case Report

Morenski, John David

doi:10.1227/01.neu.0000309196.74504.0d

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2018

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“…Hence, CT myelogram was performed avoiding MRI. In a case report by Morenski et al, [5] CT myelogram was superior to MR myelogram for demonstration of nerve root injuries in blast injury.…”

Section: Discussionmentioning

confidence: 92%

Penetrating injury to cauda equina from a missile fragment, completely recovered after delayed surgical removal of ballistic fragment

Harsha¹,

Thomas²

2018

Asian J Neurosurg

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Penetrating injuries to cauda equina due to missile fragment are rare. The mechanism of injury may be more complex due to thermal effect of missile fragment, apart from mechanisms described in penetrating gunshot injuries or stab injuries. We report a case of a 42-year-old male with penetrating missile injury to cauda equina, improved completely after delayed surgical exploration and removal of ballistic fragment. Furthermore, his bowel and bladder dysfunction improved completely within 1 week of neurosurgical exploration. Although early neurosurgical intervention is recommended for penetrating injuries of the cauda equina, delayed intervention may also be beneficial in selected patients. Computed tomography (CT) scan and CT myelogram are extremely useful in surgical planning when magnetic resonance imaging contraindicated due to impregnated metal fragments.

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“…Hence, CT myelogram was performed avoiding MRI. In a case report by Morenski et al, [5] CT myelogram was superior to MR myelogram for demonstration of nerve root injuries in blast injury.…”

Section: Discussionmentioning

confidence: 92%

Penetrating injury to cauda equina from a missile fragment, completely recovered after delayed surgical removal of ballistic fragment

Harsha¹,

Thomas²

2018

Asian J Neurosurg

View full text Add to dashboard Cite

show abstract

Bilateral Multiple Cervical Root Avulsions without Skeletal or Ligamentous Damage Resulting from Blast Injury: Case Report

Cited by 1 publication

References 1 publication

Penetrating injury to cauda equina from a missile fragment, completely recovered after delayed surgical removal of ballistic fragment

Penetrating injury to cauda equina from a missile fragment, completely recovered after delayed surgical removal of ballistic fragment

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