tailieunhanh - Báo cáo y học: "A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction: a case report. | Hossin et al. Journal of Medical Case Reports 2011 5 289 http content 5 1 289 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction a case report Jamal Hossin Morteza Joorabian and Mohammad Pipelzadah Abstract Introduction Firearm injuries account for 13 to 17 of all spinal cord injuries and are generally caused during warfare or assault with intent to kill. Spinal cord injuries caused by firearms are usually observed in patients aged 15 to 34 years old and are especially common among men. Case presentation We report the case of a 28-year-old Iraqi man who was referred to our radiology department with lower limb paraplegia secondary to a gunshot wound. We performed 64-slice computerized tomography with two-dimensional and three-dimensional reconstruction of the thoracolumbar spine. On the two-dimensional and three-dimensional reconstructed axial images of the thoracolumbar spine an intra-canalicular bullet nucleus was found at the mid-spinal cord at the T8 level with no evidence of vertebral bone destruction. Conclusions To the best of our knowledge there is only one previous report in the literature describing a case of a bullet nucleus lodged into the inferior epidural spinal canal without destruction of the vertebral bone. With the rise of violence worldwide the incidence of gunshot injuries continues to increase and thus it is essential for radiologists to have a clear understanding of gunshot injuries and the findings on radiographic images. Introduction Gunshot wounds to the spine are potentially devastating injuries that account for approximately 13 to 17 of all spinal cord injuries every year 1 . The thoracic spine is the most commonly affected region but gunshot injuries involving the cervical spine are the most devastating of all injuries such injuries result in the most severe functional impairments 2 . Spinal cord injuries inflicted