Skip to main content
Erschienen in: European Journal of Trauma and Emergency Surgery 1/2011

01.02.2011 | Case Report

Gunshot injury without direct injury to the cord may lead to complete paraplegia

verfasst von: F. Klack, C. Tassin, F. Cotton, J. Luaute, J. Gauthier, J.-S. David

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

Paraplegia following gunshot injury without direct injury to the cord is extremely rare. We describe the case of a 31-year-old woman who was admitted to our trauma resuscitation unit for a penetrating gunshot wound to the abdomen with hemorrhagic shock and paraplegia. Computed tomography (CT) scan of the abdomen showed severe hepatic and pulmonary injuries, with the trajectory of the missile away from the spinal canal. Magnetic resonance imaging (MRI) confirmed a spine contusion from T8 to T10. After 24 months, no significant neurologic improvement occurred. Physicians managing severe trauma should be aware of the possibility to observe severe neurologic deficit following gunshot wounds even without violation of the spinal canal. These injuries might be in relation to the kinetic energy emission to the surrounding tissue by the missile.
Literatur
1.
Zurück zum Zitat Holmes JF, Miller PQ, Panacek EA, Lin S, Horne NS, Mower WR. Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med 2001;8:866–72.CrossRefPubMed Holmes JF, Miller PQ, Panacek EA, Lin S, Horne NS, Mower WR. Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med 2001;8:866–72.CrossRefPubMed
2.
Zurück zum Zitat Goonewardene SS, Mangat KS, Sargeant ID, Porter K, Greaves I. Tetraplegia following cervical spine cord contusion from indirect gunshot injury effects. J R Army Med Corps 2007;153:52–3.PubMed Goonewardene SS, Mangat KS, Sargeant ID, Porter K, Greaves I. Tetraplegia following cervical spine cord contusion from indirect gunshot injury effects. J R Army Med Corps 2007;153:52–3.PubMed
3.
Zurück zum Zitat Mirovsky Y, Shalmon E, Blankstein A, Halperin N. Complete paraplegia following gunshot injury without direct trauma to the cord. Spine 2005;30:2436–8.CrossRefPubMed Mirovsky Y, Shalmon E, Blankstein A, Halperin N. Complete paraplegia following gunshot injury without direct trauma to the cord. Spine 2005;30:2436–8.CrossRefPubMed
4.
Zurück zum Zitat Lindsey RW, Gugala Z, Pneumaticos SG. Injury to the vertebrae and spinal cord. In: Feliciano DV, Moore EE, Mattox KL, eds. Trauma. 5th edn. New York: McGraw-Hill; 2004:459–92. Lindsey RW, Gugala Z, Pneumaticos SG. Injury to the vertebrae and spinal cord. In: Feliciano DV, Moore EE, Mattox KL, eds. Trauma. 5th edn. New York: McGraw-Hill; 2004:459–92.
5.
Zurück zum Zitat Kasimatis GB, Panagiotopoulos E, Megas P, Matzaroglou C, Gliatis J, Tyllianakis M, Lambiris E. The adult spinal cord injury without radiographic abnormalities syndrome: magnetic resonance imaging and clinical findings in adults with spinal cord injuries having normal radiographs and computed tomography studies. J Trauma 2008;65:86–93.CrossRefPubMed Kasimatis GB, Panagiotopoulos E, Megas P, Matzaroglou C, Gliatis J, Tyllianakis M, Lambiris E. The adult spinal cord injury without radiographic abnormalities syndrome: magnetic resonance imaging and clinical findings in adults with spinal cord injuries having normal radiographs and computed tomography studies. J Trauma 2008;65:86–93.CrossRefPubMed
6.
Zurück zum Zitat Hugenholtz H, Cass DE, Dvorak MF, Fewer DH, Fox RJ, Izukawa DM, Lexchin J, Tuli S, Bharatwal N, Short C. High-dose methylprednisolone for acute closed spinal cord injury—only a treatment option. Can J Neurol Sci 2002;29:227–35.PubMed Hugenholtz H, Cass DE, Dvorak MF, Fewer DH, Fox RJ, Izukawa DM, Lexchin J, Tuli S, Bharatwal N, Short C. High-dose methylprednisolone for acute closed spinal cord injury—only a treatment option. Can J Neurol Sci 2002;29:227–35.PubMed
Metadaten
Titel
Gunshot injury without direct injury to the cord may lead to complete paraplegia
verfasst von
F. Klack
C. Tassin
F. Cotton
J. Luaute
J. Gauthier
J.-S. David
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 1/2011
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-010-0039-4

Weitere Artikel der Ausgabe 1/2011

European Journal of Trauma and Emergency Surgery 1/2011 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.