Akcakaya Mehmet Osman, Aras Yavuz, Yorukoglu Ali Guven, Ovalioglu Cem, Sencer Altay
Istanbul University, Istanbul Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2012;22(5):667-70. doi: 10.5137/1019-5149.JTN.4117-11.0.
Intradural foreign bodies after penetrating injuries are seen very rarely. Limited number of cases of glass fragments in the spinal canal were reported previously. Migration of foreign bodies and delayed onset of neurological symptoms due to foreign bodies were also reported. In this report a 33-year-old male patient was presented, who had penetration of glass fragments through oropharyngeal mucosa in to the spinal canal after crashing into a glass door. Glass fragment, which migrated through an unusual route, and reached cervical spinal intradural space, caused neuropathic pain with radicular symptoms, 21 years after the initial injury. This case report emphasize that after penetrating injuries of spine, foreign bodies may remain silent until the patient became symptomatic years after the initial injury and these foreign bodies may migrate to extreme distant and unexpected locations in the central nervous system.
穿透伤后硬膜内异物极为罕见。此前曾有少量关于椎管内玻璃碎片的病例报道。也有异物迁移以及异物导致神经症状延迟出现的报道。在本报告中，呈现了一名33岁男性患者，其在撞向玻璃门后，玻璃碎片经口咽黏膜穿透进入椎管。玻璃碎片通过一条不寻常的路径迁移，到达颈椎硬膜内间隙，在初次受伤21年后引发了伴有神经根症状的神经性疼痛。本病例报告强调，脊柱穿透伤后，异物可能在初次受伤数年后患者出现症状之前一直无症状，并且这些异物可能迁移至中枢神经系统中极其遥远且意想不到的位置。
