Penetrating spinal cord injury causing paraplegia in a bird hunter in rural Tanzania.

Autor:	van Adrichem DC; 1Radboudumc Nijmegen, Nijmegen, Netherlands., Ratering MRHA; 1Radboudumc Nijmegen, Nijmegen, Netherlands., Rashid SM; 2Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Jusabani MA; 3Department of Orthopaedics and Traumatology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Poppe VE; 4Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Mwaitele HA; Department of Radiology Imaging, NSK Hospitals Limited, Arusha, Tanzania., Massawe HH; 3Department of Orthopaedics and Traumatology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Howlett WP; 6Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Moshi HI; 7Department of Physiotherapy, Kilimanjaro Christian Medical Centre, Moshi, Tanzania., Dekker MCJ; 3Department of Orthopaedics and Traumatology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; 6Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; 8Department of Paediatrics and Child Health, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.; 9Department of Neurology, Radboudumc Nijmegen, Nijmegen, Netherlands.
Jazyk:	angličtina
Zdroj:	Spinal cord series and cases [Spinal Cord Ser Cases] 2019 May 21; Vol. 5, pp. 49. Date of Electronic Publication: 2019 May 21 (Print Publication: 2019).
DOI:	10.1038/s41394-019-0195-7
Abstrakt:	Introduction: Cultural and socioeconomic factors influence the risk of sustaining a Traumatic Spinal Cord Injury (TSCI). The standard of management and rehabilitation available to TSCI patients differs greatly between high-income and low-income countries. Case Presentation: We report a 17-year-old male bird hunter, with no prior medical history, presenting with paraplegia and sensory loss from the xiphoid process down after being struck by an arrow in the left lateral side of the neck. Discussion: Penetrating neck injuries are potentially life threatening because of the complex arrangement of vital structures in the neck. Management of spinal cord trauma resulting from such injuries in low-resource settings is challenging. Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest. (© International Spinal Cord Society 2019.)
Databáze:	MEDLINE
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