Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology

Nonmissile penetrating spine injury (NMPSI) is usually encountered in young men, secondary to knife-inflicted injuries. Such injuries often present with complete or incomplete neurodeficit. We hereby report a case of NMPSI (due to impaled knife blade) in the cervical spine, who presented with intact...

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Autores principales: Hajare, Swapnil, Shetty, Ajoy, Ramachandran, Karthik, Shanmuganathan, Rajasekaran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9473809/
https://www.ncbi.nlm.nih.gov/pubmed/36120631
http://dx.doi.org/10.1055/s-0042-1750310
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author Hajare, Swapnil
Shetty, Ajoy
Ramachandran, Karthik
Shanmuganathan, Rajasekaran
author_facet Hajare, Swapnil
Shetty, Ajoy
Ramachandran, Karthik
Shanmuganathan, Rajasekaran
author_sort Hajare, Swapnil
collection PubMed
description Nonmissile penetrating spine injury (NMPSI) is usually encountered in young men, secondary to knife-inflicted injuries. Such injuries often present with complete or incomplete neurodeficit. We hereby report a case of NMPSI (due to impaled knife blade) in the cervical spine, who presented with intact neurology. She was managed by foreign body removal, dural repair, and cerebrospinal fluid (CSF) diversion with lumbar drain. We performed postoperative magnetic resonance imaging with diffusion tensor imaging and tractography to ascertain the cord status. The case highlights the importance of whole-body computed tomography in patients with multiple stab wounds and the use of CSF diversion in such situations.
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spelling pubmed-94738092022-09-15 Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology Hajare, Swapnil Shetty, Ajoy Ramachandran, Karthik Shanmuganathan, Rajasekaran Asian J Neurosurg Nonmissile penetrating spine injury (NMPSI) is usually encountered in young men, secondary to knife-inflicted injuries. Such injuries often present with complete or incomplete neurodeficit. We hereby report a case of NMPSI (due to impaled knife blade) in the cervical spine, who presented with intact neurology. She was managed by foreign body removal, dural repair, and cerebrospinal fluid (CSF) diversion with lumbar drain. We performed postoperative magnetic resonance imaging with diffusion tensor imaging and tractography to ascertain the cord status. The case highlights the importance of whole-body computed tomography in patients with multiple stab wounds and the use of CSF diversion in such situations. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-08-25 /pmc/articles/PMC9473809/ /pubmed/36120631 http://dx.doi.org/10.1055/s-0042-1750310 Text en Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Hajare, Swapnil
Shetty, Ajoy
Ramachandran, Karthik
Shanmuganathan, Rajasekaran
Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title_full Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title_fullStr Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title_full_unstemmed Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title_short Role of Whole-Body Computed Tomography Scan to Avoid Missed Foreign Body in Patients with Multiple Stab Injury: A Rare Case of Retained Impaled Knife Blade with Intact Neurology
title_sort role of whole-body computed tomography scan to avoid missed foreign body in patients with multiple stab injury: a rare case of retained impaled knife blade with intact neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9473809/
https://www.ncbi.nlm.nih.gov/pubmed/36120631
http://dx.doi.org/10.1055/s-0042-1750310
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