Document Detail


Migration of a bullet in the spinal canal.
MedLine Citation:
PMID:  17138071     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Migration of a bullet within the spinal canal after gunshot injury is rare. We report here the case of a penetrating gunshot injury of the lumbar spine at L3 with migration of the bullet within the spinal canal S2. The patient had marked paraparesis (proximal 1/5, distal 0/5 muscle strength) and anaesthesia at L3 and below, and had a hypocompliant, hyper-reflexive bladder with decreased capacity, and absent anal tonus. We removed osseous fragments in the canal with an L3 laminectomy and extracted the bullet by S2 laminectomy. After surgery, we observed an improvement in paraparesis, an increase in bladder capacity and urinary compliance, and improvement in anal tonus. The appropriate course of action in this type of injury remains unclear, because the number of cases described in the literature is not sufficient to provide a basis on which to make a definitive therapeutic decision. We herein review the literature describing cases in which a bullet in the spinal canal has migrated; we describe the treatment used and the outcomes in these cases.
Authors:
Ferda Cağavi; Murat Kalayci; Ilker Seçkiner; Zeynep Cağavi; Sanser Gül; Hüseyin Tuğrul Atasoy; Nejat Demircan; Bektaş Açikgöz
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  14     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-01     Completed Date:  2007-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  74-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Zonguldak Karaelmas University, TiP Fakültes, Hastanesi Nöroşirurji AD, Zonguldak 67600, Turkey. cagavif@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anal Canal / physiology
Foreign-Body Migration / complications,  radiography*,  surgery*
Humans
Male
Paraparesis / etiology
Spine / radiography*
Tomography, X-Ray Computed
Urodynamics / physiology
Wounds, Gunshot / complications*

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