Document Detail

Isolated paraplegia from a remote stab wound.
MedLine Citation:
PMID:  8367050     Owner:  NLM     Status:  MEDLINE    
A stab wound to the right flank of a 24-year-old man produced immediate paralysis of both legs but spared sensation. Recovery was slow but sufficient to allow walking with a cane. Radicular artery interruption, in combination with systemic hypotension, is presumed to have caused selective watershed infarction of the spinal cord. Strokes of the spinal cord after trauma are rare, and those at a thoracic level usually represent delayed infarctions after pediatric chest or abdominal injuries. Our patient sustained an immediate and highly selective infarction.
J R Keane; R Gamal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  33     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-10-05     Completed Date:  1993-10-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  274-6; discussion 276     Citation Subset:  IM    
Department of Neurology, Los Angeles County/University of Southern California Medical Center.
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MeSH Terms
Follow-Up Studies
Ischemia / complications,  physiopathology
Leg / innervation
Lumbosacral Region / injuries*
Muscle Hypotonia / etiology,  physiopathology
Nerve Regeneration / physiology
Neurologic Examination
Paraplegia / etiology*,  physiopathology
Spinal Cord / blood supply
Wounds, Stab / complications*,  physiopathology

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