Syndrome of intramedullary gunshot wound with incomplete neurologic deficit: case report
Hubschmann, O.R.; Krieger, A.J.; Lax, F.; Ruzicka, P.O.; Zimmer, A.E.
Journal of Trauma 28(11): 1600-1602
1988
ISSN/ISBN: 0022-5282 PMID: 3184227 Document Number: 319736
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.