کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3058437 1580287 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Migrating bullet in the thecal sac at the level of the conus medullaris without neurological deficit
ترجمه فارسی عنوان
جابجایی گلوله در کیسه thecal در سطح مخروط انتهایی بدون نقایص عصبی
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


• Bullets can lodge in the organs, blood vessels or thecal sac.
• We report a migrating bullet at the level of the conus medullaris without neurological deficit.
• Bullet migration in the spinal canal is discussed including mechanisms, diagnosis and treatment.

Bullets can lodge in the organs, blood vessels or thecal sac. To our knowledge, a migrating bullet at the level of the conus medullaris without neurological deficit has never been reported. We present our patient along with a discussion of bullet migration in the spinal canal and its mechanisms, diagnosis and treatment. A 29-year-old man was admitted to the emergency department due to a gunshot wound in the right upper quadrant of his abdomen. He had no neurological deficit. Spinal CT scan and plain radiography showed the bullet had passed through the L2 vertebral body and had migrated downwards until it had lost its energy and come to rest in the spinal canal at the L3 vertebra level. There was a grade 5 injury to the pancreas head concomitant with mesenteric injury of the transverse colon, harboring a 0.5 cm hole. He had an emergent laparotomy to have a Roux-en-Y reconstruction and repair of the transverse colon. After his general status stabilized, he was taken back to the operating room to extract the bullet from the spinal canal. L3 and partial L2 laminectomy were performed. The dura was opened and the bullet was observed intrathecally. No cerebrospinal fluid fistula was observed. The surgeries and post-operative period were uneventful.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Neuroscience - Volume 29, July 2016, Pages 185–188
نویسندگان
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