Brown Séquard syndrome due to cervical pen assault

Moin, H; Khalili, Hosseinali

doi:10.1016/j.jcfm.2005.10.003

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…The case we report is unusual: (1) spinal cord lesions and cerebrospinal breaches are rare and are mainly reported in association with posterior neck injuries, like backstabbing [9], [10]; (2) the blade missed all the vital structures of the area, and spontaneous breathing was still possible, despite the large median anterior cervical foreign body. This second point raises the issue of airway management, and foreign body mobilization in such locations.…”

Section: Discussionmentioning

confidence: 92%

A sore throat

Debelmas

Lanciaux

Bontemps

et al. 2020

Journal of Stomatology, Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 92%

A sore throat

Debelmas

Lanciaux

Bontemps

et al. 2020

Journal of Stomatology, Oral and Maxillofacial Surgery

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“…To our knowledge, no recent case series regarding pediatric pencil injuries exists in the literature. On review of multiple case reports, injury complexes after writing utensil trauma vary from the asymptomatic [7][8][9] to the serious, with sequelae such as intra-abdominal perforation, 10 cauda equina injury requiring operation, 11 Brown Sequard syndrome, 12 and internal jugular vein thrombosis. 13 Our experiences correlated with these reports, with injury complexes ranging from relatively asymptomatic oropharyngeal lacerations to retained foreign bodies requiring removal under general anesthesia to severe intracranial injury resulting in death.…”

Section: Discussionmentioning

confidence: 99%

Pencils and Pens: An Under-Recognized Source of Penetrating Injuries in Children

Fisher

Clifton

Bhatia

2011

The American Surgeon™

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Unlike other sharp objects, pens and pencils are readily available to children both at home and school. Although case reports are published, no series of pen or pencil injuries have been reported in the recent literature. We therefore reviewed the incidence and injury profiles of writing instruments as compared with other sources of penetrating trauma. The trauma registry from a large urban pediatric hospital system was queried for nonmissile, nonbite penetrating injuries from 2005 through 2009. Retrospective data was collected on demographics, injuries, operations, admissions, and mortalities. Additionally, data regarding pen and pencil injuries from 2009 to 2010 were collected prospectively, and one case from 2003 was included retrospectively. Fourteen injuries from writing instruments were seen and involved the head and neck (9), chest (1), bladder/perineum (2), and extremities (2). Eleven children were admitted and eight required surgical intervention. One child died from a transhemispheric brain injury after intraorbital penetration by a pencil. Penetrating trauma from writing instruments is not an uncommon source of injury and often requires surgical intervention to remove the object. Injuries from pens and pencils can be severe or even fatal. Appropriate parent and teacher education regarding the potential risks may help to prevent such injuries.

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“…BSS is commonly caused by knifelike objects penetrating the spine. Bizarre penetrating objects such as a drill bit 1 and a pen 2 have also been reported in the literature. However, it seems to us that this is the first case report involving a sharp iron fence point puncturing the back causing this syndrome.…”

Section: Introductionmentioning

confidence: 96%

Brown–Séquard syndrome due to penetrating injury by an iron fence point

Jia

Chen

et al. 2009

Spinal Cord

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Study design: Case report. Objectives: To present an unusual type of penetrating objects causing Brown-Séquard syndrome (BSS) and its clinical character. Setting: Department of Orthopaedic Surgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, PR China. Methods: A 54-year-old man fell from a height of 4 m onto an iron fence, and a sharp iron fence point penetrated the right side of his back. He developed left-sided BSS. Both X-ray film and computed tomography scanning of the thoracic spine showed a right vertebral plate of Th5 fracture and metal fragments inclining through the posterior and left lateral of the spinal canal. Emergency decompressive laminectomy and removal of the foreign metal piece were performed. No improvement in neurological function was observed 10 days after surgery, and thus hyperbaric oxygen treatment was initiated twice a day for the next 1 month. Results: Forty days after surgery, his bladder function returned to normal. The motor deficit had regressed and he could walk without assistance 70 days after the operation. One year later, his lower extremity functions recovered almost completely, except for slight numbness on the right side. Conclusion: As far as we know, on the basis of existing literature, the injury mechanism to BSS by a sharp iron fence point has not been reported so far. The satisfactory recovery after injury may in part be attributed to timely surgery and continuing hyperbaric oxygen treatment.

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Brown Séquard syndrome due to cervical pen assault

Cited by 6 publications

References 16 publications

A sore throat

A sore throat

Pencils and Pens: An Under-Recognized Source of Penetrating Injuries in Children

Brown–Séquard syndrome due to penetrating injury by an iron fence point

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