Document Detail

Early sequelae of gunshot wounds to the spine: radiologic diagnosis.
MedLine Citation:
PMID:  3357965     Owner:  NLM     Status:  MEDLINE    
During a 6-month period, 11 consecutive patients who had delayed neurologic deterioration after sustaining a gunshot wound to the spine were prospectively evaluated clinically, radiologically, and surgically. The patients had dysesthetic burning pain in an anesthetic area, hyperhidrosis, flexor spasm, and additional motor deficit above the level of cord injury 2-22 weeks after injury. Radiologic evaluation consisted of plain radiography of the spine and metrizamide myelography followed by computed tomography. A syringomyelic cavity was found in seven patients, an arachnoid cyst in three, and osteomyelitis in one. Seven of these patients also had cord atrophy. Postoperatively, dysesthetic pain was relieved in all the patients. There was no recurrence during a 2-year follow-up. These results emphasize the need for immediate radiologic investigation in patients with gunshot wounds of the spine who have further deterioration superimposed on their initial deficit.
F E Gellad; K S Paul; F H Geisler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  167     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-05-17     Completed Date:  1988-05-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  523-6     Citation Subset:  AIM; IM    
Department of Radiology, University of Maryland Medical System/Hospital, Baltimore 21201.
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MeSH Terms
Cysts / etiology,  radiography
Prospective Studies
Spinal Cord Injuries / complications,  radiography*
Tomography, X-Ray Computed
Wounds, Gunshot / complications,  radiography*

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