title: Syndrome of intramedullary gunshot wound with incomplete neurologic deficit: case report.
abstract: A patient with a gunshot wound to the spinal cord with an incomplete neurologic deficit is presented. The neurologic examination revealed a combination of a central cord injury and the Brown-Séquard Syndrome. The authors suggest that the Brown-Séquard portion of the syndrome was caused by compression of tracts within the spinal cord caused by the mass of the bullet and the central cord injury was produced by the kinetic energy of the bullet during penetration into the spinal canal. They conclude that with incomplete neurologic lesions following gunshot wounds the bullet be removed.
authors.affiliation: Section of Neurological Surgery, Veterans Administration Medical Center, East Orange, NJ.
authors.forename: O R
authors.initials: OR
authors.lastname: Hubschmann
authors.forename: A J
authors.initials: AJ
authors.lastname: Krieger
authors.forename: F
authors.initials: F
authors.lastname: Lax
authors.forename: P O
authors.initials: PO
authors.lastname: Ruzicka
authors.forename: A E
authors.initials: AE
authors.lastname: Zimmer
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000209:etiology*; D011859:Radiography; D012075:Remission, Spontaneous; D013119:Spinal Cord Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery