Cargando…

Vertebral artery injury due to air rifle: A case report

INTRODUCTION: This case report presents a rare case of vertebral artery and spinal cord injury due to air rifle pellet. CASE PRESENTATION: A previously healthy 19-year-old male was shot on his left neck incidentally during recreational air rifle game. He was taken to the other hospital before being...

Descripción completa

Detalles Bibliográficos
Autores principales: Mahadhipta, Harmantya, Shiddieqy Pohan, Muhammad Alvin, Bakri, Andryan Hanafi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890135/
https://www.ncbi.nlm.nih.gov/pubmed/33659055
http://dx.doi.org/10.1016/j.amsu.2021.01.097
_version_ 1783652452666441728
author Mahadhipta, Harmantya
Shiddieqy Pohan, Muhammad Alvin
Bakri, Andryan Hanafi
author_facet Mahadhipta, Harmantya
Shiddieqy Pohan, Muhammad Alvin
Bakri, Andryan Hanafi
author_sort Mahadhipta, Harmantya
collection PubMed
description INTRODUCTION: This case report presents a rare case of vertebral artery and spinal cord injury due to air rifle pellet. CASE PRESENTATION: A previously healthy 19-year-old male was shot on his left neck incidentally during recreational air rifle game. He was taken to the other hospital before being referred to our hospital. CLINICAL FINDINGS AND INVESTIGATIONS: The patient presented with total loss of motoric function on his left side of the body together with sensoric function on the contralateral side from the level of C5 and below. Signs of stroke were also spotted on the patient's face. The cervical plain radiograph and CT scan were carried out preoperatively to depict pellet fragments. Meanwhile, the CT angiography which was commenced postoperatively revealed the left vertebral artery injury. INTERVENTIONS: Surgery comprising of pellet fragments removal, decompression and posterior stabilization of the cervical spine was carried out to retrieve the pellet fragments, which were embedded at the posterior epidural space. RELEVANCE AND IMPACT: Our findings were consistent with the vertebral artery injury and Brown-Sequard syndrome. Hence, these clinical entities should be considered in the setting of penetrating cervical trauma.
format Online
Article
Text
id pubmed-7890135
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-78901352021-03-02 Vertebral artery injury due to air rifle: A case report Mahadhipta, Harmantya Shiddieqy Pohan, Muhammad Alvin Bakri, Andryan Hanafi Ann Med Surg (Lond) Case Report INTRODUCTION: This case report presents a rare case of vertebral artery and spinal cord injury due to air rifle pellet. CASE PRESENTATION: A previously healthy 19-year-old male was shot on his left neck incidentally during recreational air rifle game. He was taken to the other hospital before being referred to our hospital. CLINICAL FINDINGS AND INVESTIGATIONS: The patient presented with total loss of motoric function on his left side of the body together with sensoric function on the contralateral side from the level of C5 and below. Signs of stroke were also spotted on the patient's face. The cervical plain radiograph and CT scan were carried out preoperatively to depict pellet fragments. Meanwhile, the CT angiography which was commenced postoperatively revealed the left vertebral artery injury. INTERVENTIONS: Surgery comprising of pellet fragments removal, decompression and posterior stabilization of the cervical spine was carried out to retrieve the pellet fragments, which were embedded at the posterior epidural space. RELEVANCE AND IMPACT: Our findings were consistent with the vertebral artery injury and Brown-Sequard syndrome. Hence, these clinical entities should be considered in the setting of penetrating cervical trauma. Elsevier 2021-02-05 /pmc/articles/PMC7890135/ /pubmed/33659055 http://dx.doi.org/10.1016/j.amsu.2021.01.097 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Mahadhipta, Harmantya
Shiddieqy Pohan, Muhammad Alvin
Bakri, Andryan Hanafi
Vertebral artery injury due to air rifle: A case report
title Vertebral artery injury due to air rifle: A case report
title_full Vertebral artery injury due to air rifle: A case report
title_fullStr Vertebral artery injury due to air rifle: A case report
title_full_unstemmed Vertebral artery injury due to air rifle: A case report
title_short Vertebral artery injury due to air rifle: A case report
title_sort vertebral artery injury due to air rifle: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890135/
https://www.ncbi.nlm.nih.gov/pubmed/33659055
http://dx.doi.org/10.1016/j.amsu.2021.01.097
work_keys_str_mv AT mahadhiptaharmantya vertebralarteryinjuryduetoairrifleacasereport
AT shiddieqypohanmuhammadalvin vertebralarteryinjuryduetoairrifleacasereport
AT bakriandryanhanafi vertebralarteryinjuryduetoairrifleacasereport