Metallic Foreign Body in the Neck – a Rare Incidence
DOI:
https://doi.org/10.36552/pjns.v26i4.774Abstract
Penetrating injuries of the neck comprise upto 10% of all cases of trauma.We report the case of a 19 years old female who was admitted in Neurosurgery department of Lahore General Hospital with complaints of upper and mid back pain for 3 weeks, numbness of legs, abdomen and chest for 2 weeks and weakness of legs for 10 days. There was no preceeding history of trauma, major surgery or systemic illness. Her neurological examination suggested upper motor neuron signs in both lower limbs. She underwent a series of extensive investigations to rule out the differential diagnosis of myelitis, arteriovenous malformation and caries spine. In parallel to ongoing investigations, she received symptomatic treatment and empirical antituberculous therapy. Her MRI report showed a photon deficient area at the level of T1, which was also seen in chest Xray but was overlooked as artefact. Later on it was found to be a stray bullet which was causing the symptoms.
References
Varghese A. Penetrating neck injury: a case report and review of management. The Indian Journal of Surgery. 2013 Feb;75(1):43-46. DOI: 10.1007/s12262-012-0531-7. PMID: 24426383; PMCID: PMC3585534.
Deshmukh S, Halwai O, Sharma A, Dabholkar J. Metallic foreign body in the neck: case report. Otolaryngol Pol [Internet]. 2012;66(1):64–5. Available from: http://dx.doi.org/10.1016/S0030-6657(12)70753-9
Agrawal R, Timilsina DS, Reddy NS, Ganguly SN, Tayal A. Penetrating foreign body neck: a case report. Kathmandu Univ Med J (KUMJ) [Internet]. 2007 [cited 2022 Sep 21];5(3):414–6. Available from: https://pubmed.ncbi.nlm.nih.gov/18604067/
Bagheri SC, Khan HA, Bell RB. Penetrating neck injuries. Oral Maxillofac Surg Clin North Am [Internet]. 2008 [cited 2022 Sep 23];20(3):393–414. Available from: https://pubmed.ncbi.nlm.nih.gov/18603199/
Kawtharani S, Bsat SA, El Houshiemy M, Moussalem C, Halaoui A, Omeis I. Retained foreign needle in the thoracic spinal canal in a child: Case report. Surg Neurol Int [Internet]. 2021 [cited 2022 Sep 25];12(484):484. Available from: https://surgicalneurologyint.com/surgicalint-articles/retained-foreign-needle-in-the-thoracic-spinal-canal-in-a-child-case-report/
Borin M, Pignataro L, Ibba T, Di Cicco M, Folino F, Marchisio P, et al. Unrevealed foreign body in the deep neck space: A case report. Clin Case Rep [Internet]. 2021 [cited 2022 Sep 26];9(3):1478–82. Available from: http://dx.doi.org/10.1002/ccr3.3806
Voss J, Thieme N, Doll C, Hartwig S, Adolphs N, Heiland M, et al. Penetrating foreign bodies in head and neck trauma: A surgical challenge. Craniomaxillofac Trauma Reconstr [Internet]. 2018 [cited 2022 Sep 26];11(3):172–82. Available from: https://pubmed.ncbi.nlm.nih.gov/30087746/
Ozturk K, Keles B, Cenik Z, Yaman H. Penetrating zone II neck injury by broken windshield. Int Wound J [Internet]. 2006;3(1):63–6. Available from: https://europepmc.org/article/MED/16650212
Sriussadaporn S, Pak-Art R, Tharavej C, Sirichindakul B, Chiamananthapong S. Selective management of penetrating neck injuries based on clinical presentations is safe and practical. Int Surg [Internet]. 2001 [cited 2022 Sep 21];86(2):90–3. Available from: https://pubmed.ncbi.nlm.nih.gov/11918243/
Prichayudh S, Choadrachata-anun J, Sriussadaporn S, Pak-art R, Sriussadaporn S, Kritayakirana K, et al. Selective management of penetrating neck injuries using “no zone” approach. Injury [Internet]. 2015 [cited 2022 Sep 26];46(9):1720–5. Available from: https://pubmed.ncbi.nlm.nih.gov/26117413/
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Pakistan Journal Of Neurological Surgery
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
