The syndrome of acute central cervical spinal cord injury after a gunshot lesion

✓ The authors describe a unique case in which a bullet was lodged in the spinal canal at the C2–3 level. The patient exhibited clinically the syndrome of acute central cervical spinal cord injury. The pathogenesis is discussed with reference to three similar cases in the literature.

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Alternating Horner's syndrome and hyperhidrosis due to dural adhesions following cervical spinal cord injury

Journal of Neurosurgery ◽

10.3171/jns.1980.53.1.0097 ◽

1980 ◽

Vol 53 (1) ◽

pp. 97-100 ◽

Cited By ~ 16

Author(s):

Michinori Ottomo ◽

Robert F. Heimburger

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Dura Mater ◽

Cervical Spinal Cord ◽

Cervical Spinal Cord Injury ◽

Horner’S Syndrome ◽

Content Type ◽

Cord Injury ◽

Intramedullary Cyst ◽

Fine Print

✓ Alternating Horner's sign and hyperhidrosis appeared in this patient 8 years after a spinal cord injury at C6–7. An intramedullary cyst was suspected but was not found at operation. There was a striking improvement in both symptoms after adhesions between the spinal cord and the dura mater were freed.

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Cruciate paralysis

Journal of Neurosurgery ◽

10.3171/jns.1986.65.1.0108 ◽

1986 ◽

Vol 65 (1) ◽

pp. 108-110 ◽

Cited By ~ 13

Author(s):

Daniel Dumitru ◽

James E. Lang

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Rare Case ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Cervical Spinal Cord ◽

Content Type ◽

Vehicle Accident ◽

Cord Injury ◽

Fine Print

✓ A rare case of cruciate paralysis is reported in a 39-year-old man following a motor-vehicle accident. The differentiation of this syndrome from a central cervical spinal cord injury is delineated.

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Clinical relationship between cervical spinal canal stenosis and traumatic cervical spinal cord injury without major fracture or dislocation

European Spine Journal ◽

10.1007/s00586-013-2865-7 ◽

2013 ◽

Vol 22 (10) ◽

pp. 2228-2231 ◽

Cited By ~ 21

Author(s):

Tsuneaki Takao ◽

Yuichiro Morishita ◽

Seiji Okada ◽

Takeshi Maeda ◽

Fumihiko Katoh ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Spinal Canal ◽

Cervical Spinal Cord ◽

Spinal Canal Stenosis ◽

Cervical Spinal Cord Injury ◽

Canal Stenosis ◽

Cervical Spinal Canal ◽

Cord Injury ◽

Clinical Relationship

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The Optimal Radiologic Method for Assessing Spinal Canal Compromise and Cord Compression in Patients With Cervical Spinal Cord Injury

Spine ◽

10.1097/00007632-199903150-00022 ◽

1999 ◽

Vol 24 (6) ◽

pp. 598-604 ◽

Cited By ~ 33

Author(s):

Sanjay C. Rao ◽

Michael G. Fehlings

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Spinal Canal ◽

Cervical Spinal Cord ◽

Cord Compression ◽

Cervical Spinal Cord Injury ◽

Cord Injury

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The neurological and skeletal outcome in patients with closed cervical spinal cord injury

Journal of Neurosurgery ◽

10.3171/jns.1987.66.5.0690 ◽

1987 ◽

Vol 66 (5) ◽

pp. 690-694 ◽

Cited By ~ 36

Author(s):

William H. Donovan ◽

Dennis Kopaniky ◽

Eweline Stolzmann ◽

R. Edward Carter

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Callus Formation ◽

Cervical Spinal Cord ◽

Fracture Site ◽

Cervical Spinal Cord Injury ◽

Spinal Stability ◽

Content Type ◽

Surgical Fusion ◽

Cord Injury

✓ Sixty-one patients with closed cervical spinal cord injury were cared for within a defined protocol and followed for at least 1 year. Neurological recovery and healing of spinal structures were evaluated at intervals. Forty-three patients were managed without surgical intervention at the site of spine trauma, and the incidence of spontaneous fusion (”autofusion”) was noted. Surgical fusion was performed on 17 patients, mainly to restore spinal stability and alignment. One patient underwent laminectomy without fusion. In both the surgical fusion and the autofusion groups, there were significant numbers of patients who improved neurologically, including some designated as having a complete spinal cord lesion at the initial neurological examination. As expected, better spinal alignment was achieved in the surgical group, although alignment in the nonsurgically treated group was generally acceptable. The majority of patients developed radiographically apparent callus formation anterior to the injured vertebral bodies, regardless of the mechanism of injury or the method of treatment. After 3 months all patients who underwent surgical fusion achieved spinal stability, as did the majority of patients in the autofusion group. Only individuals with flexion-distraction injuries who did not undergo surgical fusion appeared to be at risk for progressive spinal column deformity. Neither retropulsion of bone fragments nor angulation at the fracture site appeared to correlate with a poor neurological outcome, since improvement in neurological function occurred similarly in patients with and without these deformities.

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