1974
DOI: 10.1038/sc.1974.26
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A case of traumatic transection of cervical spinal cord by glass

Abstract: DIRECT injuries to the spinal cord in peace time are encountered relatively rarely and they account for only a small proportion of all spinal cord injuries. They are most frequently caused by firearms or stab wounds. Because no report of a case like that presented below was found by us in the available literature it was thought worth while to describe it here in detail.

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“…It is interesting to note that in cases when the cervical spine was injured, the symptoms were logically explained by the location: quadriparesis and anesthesia or hypoesthesia [ 7 , 13 , 21 ], hemiparesis on the left and hypoesthesia with spared deep sensations on the right [ 8 , 10 ], and dysesthesia in the arms [ 16 , 18 ]. However, in our case, the absence of any upper extremity symptoms is surprising, because the glass shard is at the level of the segments supplying the brachial plexus and lodged into the C6/C7 intervertebral foramen, where it most likely should have damaged the corresponding nerve root.…”
Section: Discussion and Literature Reviewmentioning
confidence: 99%
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“…It is interesting to note that in cases when the cervical spine was injured, the symptoms were logically explained by the location: quadriparesis and anesthesia or hypoesthesia [ 7 , 13 , 21 ], hemiparesis on the left and hypoesthesia with spared deep sensations on the right [ 8 , 10 ], and dysesthesia in the arms [ 16 , 18 ]. However, in our case, the absence of any upper extremity symptoms is surprising, because the glass shard is at the level of the segments supplying the brachial plexus and lodged into the C6/C7 intervertebral foramen, where it most likely should have damaged the corresponding nerve root.…”
Section: Discussion and Literature Reviewmentioning
confidence: 99%
“…The management of glass fragments in the described cases was always surgical (laminectomy, removal of the fragments, and dural closure) if the patient presented to the hospital immediately after injury and exhibited signs of neurological damage and the glass fragment was successfully visualized with imaging [ 7 10 , 13 , 15 , 20 22 ]. One patient died due to cardiopulmonary insufficiency [ 7 ], while others survived, but some exhibited varying degrees of neurological dysfunction [ 10 , 13 , 20 , 21 ].…”
Section: Discussion and Literature Reviewmentioning
confidence: 99%