Stab wound to the intramedullary spinal cord: Presurgical and surgical management options for a retained blade to optimize neurological preservation

Prateek Agarwal, John F. Burke, Kalil G. Abdullah, Matthew Piazza, Brian P. Smith, Jayesh P. Thawani, Neil R. Malhotra

Research output: Contribution to journalArticle

Abstract

Background: We present a rare case of an intraparenchymal nonmissile penetrating spinal injury (NMPSI) occurring at the T11 level in a patient presenting without neurological deficit. Case Description: The patient sustained a knife wound that penetrated the lamina without incurring bony injury and entered the spinal cord at the T11 level. During surgery, the intramedullary penetration of the cord was confirmed, and following surgical removal of the knife, the patient fully recovered without losing any neurological function. Conclusions: The surgical management of NMPSI in patients who are neurologically intact is controversial. Here, we report surgical excision of a knife that penetrated the spinal cord at the T11 level, without the patient incurring further neurological deterioration.

Original languageEnglish (US)
Pages (from-to)S1096-S1098
JournalSurgical Neurology International
Volume7
Issue number43
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Fingerprint

Stab Wounds
Spinal Cord
Spinal Injuries
Spinal Cord Injuries
Wounds and Injuries

Keywords

  • Nonmissile penetrating spinal injury
  • penetrating spinal trauma
  • spinal cord injury
  • stab wounds

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Stab wound to the intramedullary spinal cord : Presurgical and surgical management options for a retained blade to optimize neurological preservation. / Agarwal, Prateek; Burke, John F.; Abdullah, Kalil G.; Piazza, Matthew; Smith, Brian P.; Thawani, Jayesh P.; Malhotra, Neil R.

In: Surgical Neurology International, Vol. 7, No. 43, 01.01.2016, p. S1096-S1098.

Research output: Contribution to journalArticle

Agarwal, Prateek ; Burke, John F. ; Abdullah, Kalil G. ; Piazza, Matthew ; Smith, Brian P. ; Thawani, Jayesh P. ; Malhotra, Neil R. / Stab wound to the intramedullary spinal cord : Presurgical and surgical management options for a retained blade to optimize neurological preservation. In: Surgical Neurology International. 2016 ; Vol. 7, No. 43. pp. S1096-S1098.
@article{5811dc61a22b41abb239af4183ec2fd7,
title = "Stab wound to the intramedullary spinal cord: Presurgical and surgical management options for a retained blade to optimize neurological preservation",
abstract = "Background: We present a rare case of an intraparenchymal nonmissile penetrating spinal injury (NMPSI) occurring at the T11 level in a patient presenting without neurological deficit. Case Description: The patient sustained a knife wound that penetrated the lamina without incurring bony injury and entered the spinal cord at the T11 level. During surgery, the intramedullary penetration of the cord was confirmed, and following surgical removal of the knife, the patient fully recovered without losing any neurological function. Conclusions: The surgical management of NMPSI in patients who are neurologically intact is controversial. Here, we report surgical excision of a knife that penetrated the spinal cord at the T11 level, without the patient incurring further neurological deterioration.",
keywords = "Nonmissile penetrating spinal injury, penetrating spinal trauma, spinal cord injury, stab wounds",
author = "Prateek Agarwal and Burke, {John F.} and Abdullah, {Kalil G.} and Matthew Piazza and Smith, {Brian P.} and Thawani, {Jayesh P.} and Malhotra, {Neil R.}",
year = "2016",
month = "1",
day = "1",
doi = "10.4103/2152-7806.196769",
language = "English (US)",
volume = "7",
pages = "S1096--S1098",
journal = "Surgical Neurology International",
issn = "2152-7806",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "43",

}

TY - JOUR

T1 - Stab wound to the intramedullary spinal cord

T2 - Presurgical and surgical management options for a retained blade to optimize neurological preservation

AU - Agarwal, Prateek

AU - Burke, John F.

AU - Abdullah, Kalil G.

AU - Piazza, Matthew

AU - Smith, Brian P.

AU - Thawani, Jayesh P.

AU - Malhotra, Neil R.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background: We present a rare case of an intraparenchymal nonmissile penetrating spinal injury (NMPSI) occurring at the T11 level in a patient presenting without neurological deficit. Case Description: The patient sustained a knife wound that penetrated the lamina without incurring bony injury and entered the spinal cord at the T11 level. During surgery, the intramedullary penetration of the cord was confirmed, and following surgical removal of the knife, the patient fully recovered without losing any neurological function. Conclusions: The surgical management of NMPSI in patients who are neurologically intact is controversial. Here, we report surgical excision of a knife that penetrated the spinal cord at the T11 level, without the patient incurring further neurological deterioration.

AB - Background: We present a rare case of an intraparenchymal nonmissile penetrating spinal injury (NMPSI) occurring at the T11 level in a patient presenting without neurological deficit. Case Description: The patient sustained a knife wound that penetrated the lamina without incurring bony injury and entered the spinal cord at the T11 level. During surgery, the intramedullary penetration of the cord was confirmed, and following surgical removal of the knife, the patient fully recovered without losing any neurological function. Conclusions: The surgical management of NMPSI in patients who are neurologically intact is controversial. Here, we report surgical excision of a knife that penetrated the spinal cord at the T11 level, without the patient incurring further neurological deterioration.

KW - Nonmissile penetrating spinal injury

KW - penetrating spinal trauma

KW - spinal cord injury

KW - stab wounds

UR - http://www.scopus.com/inward/record.url?scp=85009114659&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009114659&partnerID=8YFLogxK

U2 - 10.4103/2152-7806.196769

DO - 10.4103/2152-7806.196769

M3 - Article

C2 - 28144493

AN - SCOPUS:85009114659

VL - 7

SP - S1096-S1098

JO - Surgical Neurology International

JF - Surgical Neurology International

SN - 2152-7806

IS - 43

ER -