Document Detail


Cauda equina syndrome caused by a migrated bullet in dural sac.
MedLine Citation:
PMID:  20963714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cauda equina syndrome (CES) is a serious neurological condition and the most common cause is a central disc herniation. Migration of a bullet down the spinal canal is uncommon. In this report, the authors present an unusual case of cauda equina syndrome caused by a migrated bullet in dural sac. The patient's cauda equina syndrome was related to possible compression of cauda equina resulting from both bone fragments in L1 level and bullet itself in S2 level. The patient's symptoms and neurological deficits resolved considerably after surgery. In our opinion, it is important to pay attention to diversity of injury when confronted with a gunshot wound. It is essential to perform early and sufficient surgical decompression of the cauda equina to provide a better postoperative neurological recovery.
Authors:
Wan Jun; Kang Yi-Jun; Zhang Xiang-Sheng; Wan Jing
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  20     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-21     Completed Date:  2010-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  566-9     Citation Subset:  IM    
Affiliation:
Central South University, Department of Spine, Changsha, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Dura Mater / radiography
Foreign-Body Migration / complications*,  radiography,  surgery
Humans
Male
Polyradiculopathy / etiology*,  radiography,  surgery
Tomography, X-Ray Computed
Wounds, Gunshot / complications*,  radiography,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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