Intradural migration of a bullet following spinal gunshot injury
Study design: Case report. Objectives: To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2. Setting: Istanbul, Turkey. Methods: A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with lef...
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| Veröffentlicht in: | Spinal cord 2006-05, Vol.44 (5), p.326-329 |
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| creator | Kafadar, A M Kemerdere, R Isler, C Hanci, M |
| description | Study design:
Case report.
Objectives:
To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2.
Setting:
Istanbul, Turkey.
Methods:
A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and transverse colon repair were performed. He had complete spinal cord injury below the level of L1. Lumbar magnetic resonance imaging (MRI) revealed hemorrhagic areas in conus medullaris and L1 corpus. The bullet was lodged at the S2 level. S1–S2 laminectomies were performed for the removal of the bullet. The antibiotic therapy was given for 17 days.
Results:
No meningitis or wound infection was observed after the operation. At discharge his neurological status was improved.
Conclusions:
The present case presented the movement of an intraspinal bullet after a spinal gunshot injury. No signs of infection were detected postoperatively. Lumbar MRI was used safely without any change in neurological status or patient discomfort. |
| doi_str_mv | 10.1038/sj.sc.3101808 |
| format | Article |
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Case report.
Objectives:
To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2.
Setting:
Istanbul, Turkey.
Methods:
A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and transverse colon repair were performed. He had complete spinal cord injury below the level of L1. Lumbar magnetic resonance imaging (MRI) revealed hemorrhagic areas in conus medullaris and L1 corpus. The bullet was lodged at the S2 level. S1–S2 laminectomies were performed for the removal of the bullet. The antibiotic therapy was given for 17 days.
Results:
No meningitis or wound infection was observed after the operation. At discharge his neurological status was improved.
Conclusions:
The present case presented the movement of an intraspinal bullet after a spinal gunshot injury. No signs of infection were detected postoperatively. Lumbar MRI was used safely without any change in neurological status or patient discomfort.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3101808</identifier><identifier>PMID: 16172630</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anatomy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; case-report ; Cerebrospinal fluid. Meninges. Spinal cord ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Human Physiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Lumbosacral Region - pathology ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; Spinal Cord Injuries - etiology ; Spinal Cord Injuries - pathology ; Spinal Injuries - etiology ; Spinal Injuries - pathology ; Tomography, X-Ray Computed - methods ; Traumas. Diseases due to physical agents ; Wounds, Gunshot - complications ; Wounds, Gunshot - pathology</subject><ispartof>Spinal cord, 2006-05, Vol.44 (5), p.326-329</ispartof><rights>Springer Nature Limited 2006</rights><rights>2006 INIST-CNRS</rights><rights>Spinal Cord (2006) 44, 326-329. doi:10.1038/sj.sc.3101808; published online 20 September 2005.</rights><rights>Copyright Nature Publishing Group May 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-8b1e6e16089fd85ae4dd28ef27f6a940ae2d83c089c5aa16bd3302ea7ad1067d3</citedby><cites>FETCH-LOGICAL-c448t-8b1e6e16089fd85ae4dd28ef27f6a940ae2d83c089c5aa16bd3302ea7ad1067d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17782535$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16172630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kafadar, A M</creatorcontrib><creatorcontrib>Kemerdere, R</creatorcontrib><creatorcontrib>Isler, C</creatorcontrib><creatorcontrib>Hanci, M</creatorcontrib><title>Intradural migration of a bullet following spinal gunshot injury</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Case report.
Objectives:
To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2.
Setting:
Istanbul, Turkey.
Methods:
A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and transverse colon repair were performed. He had complete spinal cord injury below the level of L1. Lumbar magnetic resonance imaging (MRI) revealed hemorrhagic areas in conus medullaris and L1 corpus. The bullet was lodged at the S2 level. S1–S2 laminectomies were performed for the removal of the bullet. The antibiotic therapy was given for 17 days.
Results:
No meningitis or wound infection was observed after the operation. At discharge his neurological status was improved.
Conclusions:
The present case presented the movement of an intraspinal bullet after a spinal gunshot injury. No signs of infection were detected postoperatively. Lumbar MRI was used safely without any change in neurological status or patient discomfort.</description><subject>Adult</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>case-report</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Lumbosacral Region - pathology</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Spinal Cord Injuries - etiology</subject><subject>Spinal Cord Injuries - pathology</subject><subject>Spinal Injuries - etiology</subject><subject>Spinal Injuries - pathology</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Gunshot - complications</subject><subject>Wounds, Gunshot - pathology</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp10EuLFDEUBeAgivPQpUulGNBdtXlUpZKdMjjOwIAbXYfbSaqtIp20uRVk_v1k6NIGwVUC58vN5RDyhtENo0J9xHmDdiMYZYqqZ-ScdYNse8m75_UuJG87ocUZuUCcKaWaafWSnDHJBi4FPSef7uKSwZUModlPuwzLlGKTxgaabQnBL82YQki_p7hr8DDFynYl4s-0NFOcS354RV6MENC_Xs9L8uPmy_fr2_b-29e768_3re06tbRqy7z0TFKlR6d68J1zXPmRD6ME3VHw3Clha2x7ACa3TgjKPQzgGJWDE5fkw3HuIadfxeNi9hNaHwJEnwoaOWiutZQVXv0D51RyXRwN51oIriSvqD0imxNi9qM55GkP-cEwap56NTgbtGbttfp369Cy3Xt30muRFbxfAaCFMGaIdsKTGwbFe9FXtzk6rFHc-Xza7n8_vz0-iLCU7P9O_JM_AqYimb4</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Kafadar, A M</creator><creator>Kemerdere, R</creator><creator>Isler, C</creator><creator>Hanci, M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Intradural migration of a bullet following spinal gunshot injury</title><author>Kafadar, A M ; Kemerdere, R ; Isler, C ; Hanci, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-8b1e6e16089fd85ae4dd28ef27f6a940ae2d83c089c5aa16bd3302ea7ad1067d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>case-report</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Lumbosacral Region - pathology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Spinal Cord Injuries - etiology</topic><topic>Spinal Cord Injuries - pathology</topic><topic>Spinal Injuries - etiology</topic><topic>Spinal Injuries - pathology</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Gunshot - complications</topic><topic>Wounds, Gunshot - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kafadar, A M</creatorcontrib><creatorcontrib>Kemerdere, R</creatorcontrib><creatorcontrib>Isler, C</creatorcontrib><creatorcontrib>Hanci, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kafadar, A M</au><au>Kemerdere, R</au><au>Isler, C</au><au>Hanci, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intradural migration of a bullet following spinal gunshot injury</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>44</volume><issue>5</issue><spage>326</spage><epage>329</epage><pages>326-329</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Case report.
Objectives:
To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2.
Setting:
Istanbul, Turkey.
Methods:
A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and transverse colon repair were performed. He had complete spinal cord injury below the level of L1. Lumbar magnetic resonance imaging (MRI) revealed hemorrhagic areas in conus medullaris and L1 corpus. The bullet was lodged at the S2 level. S1–S2 laminectomies were performed for the removal of the bullet. The antibiotic therapy was given for 17 days.
Results:
No meningitis or wound infection was observed after the operation. At discharge his neurological status was improved.
Conclusions:
The present case presented the movement of an intraspinal bullet after a spinal gunshot injury. No signs of infection were detected postoperatively. Lumbar MRI was used safely without any change in neurological status or patient discomfort.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16172630</pmid><doi>10.1038/sj.sc.3101808</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Anatomy Biological and medical sciences Biomedical and Life Sciences Biomedicine case-report Cerebrospinal fluid. Meninges. Spinal cord Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Human Physiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Lumbosacral Region - pathology Magnetic Resonance Imaging - methods Male Medical sciences Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences Spinal Cord Injuries - etiology Spinal Cord Injuries - pathology Spinal Injuries - etiology Spinal Injuries - pathology Tomography, X-Ray Computed - methods Traumas. Diseases due to physical agents Wounds, Gunshot - complications Wounds, Gunshot - pathology |
| title | Intradural migration of a bullet following spinal gunshot injury |
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