Cauda equina syndrome occurring nine years after a gunshot injury to the spine. A case report.

Conway, J.; Crofford, T W; Terry, Arthur F.; Protzman, R R

doi:10.2106/00004623-199305000-00017

Cited by 34 publications

(16 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…7) However, the surgical indications for removal of a bullet embedded in the surrounding bone or disc space are unclear if there is no spinal injury. 2) Embedded bullets in the lumbar intervertebral disc space may remain clinically silent through the life of the patients. However, the bullets may herniate into the spinal canal or migrate in the intervertebral disc space, causing back pain and cauda equina syndrome many years after the first injury.…”

Section: Discussionmentioning

confidence: 99%

“…However, the bullets may herniate into the spinal canal or migrate in the intervertebral disc space, causing back pain and cauda equina syndrome many years after the first injury. 1,2,9) In addition, increasing pain following bullet injuries of the spinal cord may be caused by metal breakdown products. 4) Although lead intoxication secondary to retained bullets is uncommon, it may affect the neurologic, hematologic, gastrointestinal, musculoskeletal, renal, and reproductive systems.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Migration of a Bullet in the Lumbar Intervertebral Disc Space Causing Back Pain -Case Report-

Ceylan

Çoşar

2008

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 41-year-old man presented with low-velocity gunshot injury in the right abdomen. Neuroimaging showed the bullet located in the L2-3 intervertebral disc space, but neurological examination found no abnormalities. Exploratory laparotomy was performed because of retroperitoneal hematoma. Two months after the gunshot injury, the patient presented with severe low back pain. Serial neuroimaging showed that the bullet had migrated in the intervertebral disc space. The bullet was removed via right L2 hemilaminectomy. The patient had no complaints after the operation. Early recognition and surgical intervention for bullets embedded in the intervertebral disc space may present with neurological and related complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Migration of a Bullet in the Lumbar Intervertebral Disc Space Causing Back Pain -Case Report-

Ceylan

Çoşar

2008

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…There are many reports about the movement of the bullet from paraspinal muscles and intervertebral disc space into the spinal canal 10,11 in the literature. Kuijlen et al 10 reported migration of a bullet from the paraspinal muscles at L3 level into the spinal canal.…”

Section: Discussionmentioning

confidence: 99%

Intradural migration of a bullet following spinal gunshot injury

et al. 2005

View full text Add to dashboard Cite

Study design: Case report. Objectives: To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2. Setting: Istanbul, Turkey. Methods: A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and transverse colon repair were performed. He had complete spinal cord injury below the level of L1. Lumbar magnetic resonance imaging (MRI) revealed hemorrhagic areas in conus medullaris and L1 corpus. The bullet was lodged at the S2 level. S1-S2 laminectomies were performed for the removal of the bullet. The antibiotic therapy was given for 17 days. Results: No meningitis or wound infection was observed after the operation. At discharge his neurological status was improved.Conclusions: The present case presented the movement of an intraspinal bullet after a spinal gunshot injury. No signs of infection were detected postoperatively. Lumbar MRI was used safely without any change in neurological status or patient discomfort.

show abstract

“…Projektile oder Knochensplitter im Wirbelsäulenkanal können zu neurologischen Spätausfällen führen und können zu diesem Zeitpunkt entfernt werden [2,15] [2,35,53]. Eine pharmakologische Behandlung mit Chelatbildnern wie EDTA, D-Penizillamin oder Dimercaptol sollte vor der Projektilentfernung erfolgen und verbessert das klinische Resultat [34].…”

Section: Entfernung Des Projektils?unclassified

Behandlung von Schussverletzungen des Bewegungsapparates

et al. 2002

View full text Add to dashboard Cite

In the view of efficiency and cost effectiveness the increasing incidence of gunshot wounds in Europe demands a modification of treatment protocols. The general basis are debridement of soft tissue injuries, antibiotics and fracture stabilization. The pathology of gunshot wounds and established treatment algorhithms, however have to be adjusted to the ongoing development of gun technology and the thereby caused specific lesions. The treatment of injuries caused by high velocity projectiles necessitates a proactive surgical strategy. Small caliber gunshot wounds can be treated more conservatively. The following review presents an overview on the ballistic and surgical basis for the treatment of gunshot wounds of the musculoskeletal system.

show abstract

Cauda equina syndrome occurring nine years after a gunshot injury to the spine. A case report.

Cited by 34 publications

References 4 publications

Migration of a Bullet in the Lumbar Intervertebral Disc Space Causing Back Pain -Case Report-

Migration of a Bullet in the Lumbar Intervertebral Disc Space Causing Back Pain -Case Report-

Intradural migration of a bullet following spinal gunshot injury

Behandlung von Schussverletzungen des Bewegungsapparates

Contact Info

Product

Resources

About