Document Detail

Tetraplegia following cervical spine cord contusion from indirect gunshot injury effects.
MedLine Citation:
PMID:  17575878     Owner:  NLM     Status:  MEDLINE    
We present the case of a 31 year old British soldier who sustained a high energy gunshot injury to the neck with delayed onset tetraplegia. The bullet's transcervical track was subsequently shown to have had no direct contact with the spinal cord, but four to five minutes after injury the patient developed tetraplegia. Subsequent Magnetic Resonance Imaging confirmed this to be due to contusion of the cervical spinal cord. This case illustrates the high levels of energy potentially transferred to surrounding tissues by the passage of a high available energy projectile, causing significant injury to nearby structures not actually impacted by the missile.
S S Goonewardene; K S Mangat; I D Sargeant; K Porter; I Greaves
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Royal Army Medical Corps     Volume:  153     ISSN:  0035-8665     ISO Abbreviation:  J R Army Med Corps     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-06-19     Completed Date:  2007-08-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505627     Medline TA:  J R Army Med Corps     Country:  England    
Other Details:
Languages:  eng     Pagination:  52-3     Citation Subset:  IM    
South Birmingham Trauma Unit, Selly Oak Hospital, Raddlebarn Road B29.
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MeSH Terms
Cervical Vertebrae / injuries*
Contusions / complications*
Military Personnel
Quadriplegia / etiology*
Spinal Cord Injuries / complications*,  etiology
Wounds, Gunshot / complications*

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