Spinal cord herniation after stabbing injury.
A 19-year-old man presented with delayed paraplegia on the second day after a stab injury of the spine. Magnetic resonance imaging showed herniation of the spinal cord through the dural defect. After emergency surgery, his paraplegia recovered leaving a Brown-Sequard syndrome immediate after injury. Spinal cord herniation should be considered as one of the possible factors in patients developing neurological deterioration after a stab injury of the spine. The possible pathogenesis of symptomatic non-spontaneous spinal cord herniation is discussed.
Lee
S T
ST
Department of Neurosurgery, Chang Gung Medical College, Taiwan.
Lui
T N
TN
Jeng
C M
CM
D000208:Acute Disease; D000328:Adult; D006547:Hernia / Q000209:etiology / Q000473:pathology; D059685:Herniorrhaphy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013118:Spinal Cord Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014951:Wounds, Stab / Q000150:complications* / Q000473:pathology / Q000601:surgery