Surgical management of transcervical gunshot injury presented with CSF leak and progressive left upper extremity paresis: a case report and literature review.

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Child's Nervous System Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI:10.1007/s00381-024-06485-7
Sadegh Bagherzadeh, Faramarz Roohollahi, Milad Shafizadeh, Ehsan Jangholi, Shervin Rabiee, Mohsen Rostami, Morteza Faghih Jouibari, Mohammad Jafari
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Abstract

Introduction: Penetrating neck trauma (PNT) due to gunshot injuries is one of the challenging conditions with the potential for both significant morbidities and mortality.

Research question: There are significant concerns in the approach to patients with spinal gunshot injuries. Surgery indications, methods of surgery, and management of CSF leaks are the main concerns of these patients.

Methods and materials: An 11-year-old boy was referred to our center with a single gunshot wound to the left side of the posterior cervical region 2 days ago with cerebrospinal fluid leakage and left arm weakness.

Results: The patient underwent surgery, and the pellet was removed. His left arm weakness fully recovered after the operation, and no new symptoms developed during the 1-year follow-up.

Conclusion: Timely surgery could dramatically improve outcomes in PNT patients with mild symptoms and prevent worsening neurological defects.

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经颈椎枪伤伴 CSF 渗漏和左上肢进行性瘫痪的手术治疗:病例报告和文献综述。
简介:枪伤导致的颈部穿透性创伤(PNT)是具有挑战性的疾病之一,可能会导致严重的发病率和死亡率:研究问题:脊柱枪伤患者的治疗方法备受关注。手术适应症、手术方法和 CSF 渗漏的处理是这些患者最关心的问题:一名 11 岁男孩于 2 天前因颈椎后部左侧单发枪伤伴脑脊液漏和左臂无力转诊至我中心:患者接受了手术,取出了弹丸。术后左臂无力完全恢复,随访 1 年未再出现新的症状:结论:及时手术可显著改善症状轻微的 PNT 患者的预后,防止神经缺陷恶化。
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来源期刊
Child's Nervous System
Child's Nervous System 医学-临床神经学
CiteScore
3.00
自引率
7.10%
发文量
322
审稿时长
3 months
期刊介绍: The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.
期刊最新文献
Correction: Biobank for craniosynostosis and faciocraniosynostosis, rare pediatric congenital craniofacial disorders: a study protocol. Incidence of infection rate for shunt implantation: the zero % rate is always a myth. Pediatric low-grade gliomas. Shlomi Constantini, MD, MSc. Bilateral decompressive craniectomy as a damage control strategy for a preschooler multilobar bihemispheric firearm injury: a case report and systematic review
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