Zhang Xiao-Yong, Yang Ying-Ming
Department of Neurosurgery, Shantou University Medical College, NO. 22, Xinling Road, Shantou 515000, Guangdong Province, China.
Department of Neurosurgery, The First Affiliated Hospital of Shantou University Medical College, No. 57, Changping Road, Shantou 515000, Guangdong Province, China.
Spine J. 2016 Jun;16(6):e403-6. doi: 10.1016/j.spinee.2016.01.189. Epub 2016 Jan 28.
Stab wounds resulting in spinal cord injury of the craniocervical junction are rare. A scissors stab wound to the cervical spinal cord has been reported only once in the literature.
This paper aimed to report a case of Brown-Séquard-plus syndrome in an 8-year-old boy secondary to a scissors stab wound at the craniocervical junction.
Case report and review of the literature.
Case report of an 8-year-old boy accidentally stabbed in the neck by scissors, which were thrown as a dart.
The case study of an 8-year-old boy who was hospitalized because of a scissors stab wound at the craniocervical junction. The patient developed Brown-Séquard-plus syndrome on the left side of the body. Magnetic resonance imaging revealed a laceration of the spinal cord at the craniocervical junction with cerebrospinal fluid leakage. Careful cleansing and interrupted sutures of the wounds were performed to prevent cerebrospinal fluid leakage. Rehabilitation therapy was performed 2 days later.
A follow-up examination revealed complete recovery of the neurologic deficit 8 months post-injury.
Treatment of scissors stab wounds to the cervical spinal cord, whether conservative management or thorough surgical exploration, should be individualized based on history, examination, and imaging. As shown in this case report, despite conservative management, complete recovery, which was unexpected, was attributed to the initial mild laceration of the spinal cord and ipsilateral spinal cord functional compensation.
导致颅颈交界区脊髓损伤的刺伤很少见。文献中仅报道过1例颈椎脊髓被剪刀刺伤的病例。
本文旨在报告1例8岁男孩因颅颈交界区被剪刀刺伤继发布朗 - 塞卡尔加综合征的病例。
病例报告及文献回顾。
1例8岁男孩的病例报告，该男孩意外被当作飞镖投掷的剪刀刺伤颈部。
对1例因颅颈交界区剪刀刺伤而住院的8岁男孩进行病例研究。患者身体左侧出现布朗 - 塞卡尔加综合征。磁共振成像显示颅颈交界区脊髓撕裂并伴有脑脊液漏。对伤口进行仔细清洁和间断缝合以防止脑脊液漏。2天后进行康复治疗。
随访检查显示伤后8个月神经功能缺损完全恢复。
对于颈椎脊髓剪刀刺伤的治疗，无论是保守治疗还是彻底的手术探查，都应根据病史、检查和影像学结果进行个体化处理。如本病例报告所示，尽管采用了保守治疗，但意外实现了完全恢复，这归因于脊髓最初的轻度撕裂和同侧脊髓的功能代偿。
