Pribán V, Fiedler J
Neurochirurgické oddĕlení, Nemocnice Ceské Budĕjovice.
Rozhl Chir. 2010 Apr;89(4):220-2.
Authors present case-report of young man with incomplete spinal cord injury after penetrating stab wound. Knife blade entered the skin in the level C3/4 in the back of the neck and directed to the right and downward. Both dorsal spinal cord columns and right half of spinal cord were transected. Neurological presentation was Brown-Séquard syndrome combined with dorsal columns syndrome. Wound revision was performed followed by dural closure. 18 month after injury significant neurological improvement of right hemiparesis was recorded and the patient is self-sufficient. Spinal cord stab wounds are rare. Typical clinical symptomatology is incomplete spinal cord injury. Clinical improvement of Brown-Séquard syndrome in our patient entirely corelates with literature.
作者报告了一例青年男性在穿透性刺伤后发生不完全性脊髓损伤的病例。刀片从颈部后方C3/4水平进入皮肤，向右下方刺入。脊髓背侧双侧柱及脊髓右侧半横断。神经学表现为布朗 - 塞卡尔综合征合并背侧柱综合征。进行了伤口清创，随后缝合硬脑膜。受伤18个月后，记录到右侧偏瘫有显著神经功能改善，患者能够自理。脊髓刺伤很少见。典型的临床症状是不完全性脊髓损伤。我们患者布朗 - 塞卡尔综合征的临床改善与文献完全相符。
