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Indian Journal of Neurotrauma 2013; 10(01): 52-54
DOI: 10.1016/j.ijnt.2013.04.002
DOI: 10.1016/j.ijnt.2013.04.002
Case Report
Cerebrospinal fluid fistula due to penetrating trauma
Subject Editor:
Further Information
Publication History
18 July 2012
06 April 2013
Publication Date:
06 April 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00029202/201301/lookinside/thumbnails/10-1016-j.ijnt.2013.04.002-1.jpg)
Abstract
Penetrating spinal injury with CSF (cerebrospinal fluid) leakage, without neurological deficit is extremely rare. Most of these CSF leakages spontaneously stops and do not threat life. CSF fistula due to penetrating trauma treated with conservatively in the first step. In the failure of conservative treatment surgery is necessary. Penetrating-cutting insults to the spinal cord are generally caused by back attack to the cervical and thoracic area and usually they are with incomplete cord injury. Most of these cases are caused by knife. In the present study a case with lumbar CSF leakage caused by knife injury treated with surgery without neurological deficit presented.
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References
- 1 Heary R.F., Vaccaro A.R., Mesa J.J., Balderston R.A.. Thoracolumbar infections in penetrating injuries to the spine. Orthop Clin North Am 1996; 27: 69-81
- 2 Isu T., Iwasaki Y., Sasaki H., Abe H.. Spinal cord and root injuries due to glass fragments and acupuncture needles. Surg Neurol 1985; 23: 255-260
- 3 LeBlanc H.J., Gray L.W., Kline D.G.. Stab wounds of the cauda equina. Case report. J Neurosurg 1969; 31: 683-685
- 4 Peacock W.J., Shrosbree R.D., Key A.G.. A review of 450 stab wounds of the spinal cord. S Afr Med J 1977; 25 (51) 961-964
- 5 Shahlaie K., Chang D.J., Anderson J.T.. Nonmissile penetrating spinal injury. Case report and review of the literature. Neurosurg Spine 2006; 04: 400-408
- 6 Thakur R.C., Khosla V.K., Kak V.K.. Non-missile penetrating injuries of the spine. Acta Neurochir (Wien) 1991; 113: 144-148
- 7 Splavski B., Vranković D., Sarić G., Blagus G., Mursić B., Rukovanjski M.. Early management of war missile spine and spinal cord injuries: experience with 21 cases. Injury 1996; 27: 699-702
- 8 Kulkarni A.V., Bhandari M., Stiver S., Reddy K.. Delayed presentation of spinal stab wound: case report and review of the literature. J Emerg Med 2000; 18: 209-213
- 9 Rubin G., Tallman D., Sagan L., Melgar M.. An unusual stab wound of the cervical spinal cord: a case report. Spine 2001; 15 (26) 444-447
- 10 Manzone P., Domenech V., Forlino D.. Stab injury of the spinal cord surgically treated. J Spinal Disord 2001; 14: 264-267
- 11 Doğan S., Kocaeli H., Taşkapilioğlu M.O., Bekar A.. Stab injury of the thoracic spinal cord: case report. Turk Neurosurg 2008; 18: 298-301
- 12 Lipschitz R., Block J.. Stab wounds of the spinal cord. Lancet 1962; 28 (02) 169-172
- 13 Alkan A., Baysal T., Saras K., Sigirci A., Kutlu R.. Early MRI findings in stab wound of the cervical spine: two case reports. Neuroradiology 2002; 44: 64-66
- 14 Jacobsohn M., Semple P., Dunn R., Candy S.. Stab injuries to the spinal cord: a retrospective study on clinical findings and magnetic resonance imaging changes. Neurosurgery 2007; 61: 1262-1267
- 15 Moyed S., Shanmuganathan K., Mirvis S.E., Bethel A., Rothman M.. MR imaging of penetrating spinal trauma. AJR Am J Roentgenol 1999; 173: 1387-1391
- 16 Velmahos G.C., Degiannis E., Hart K., Souter I., Saadia R.. Changing profiles in spinal cord injuries and risk factors influencing recovery after penetrating injuries. J Trauma 1995; 38: 334-337
- 17 Jallo G.I.. Neurosurgical management of penetrating spinal injury. Surg Neurol 1997; 47: 328-330
- 18 Seçer M., Gezici A.R., Dalgıc A., Ergüngör M.F.. Delayed pseudomeningocele as a result of penetrating injury: case report. Ulus Travma Acil Cerrahi Derg 2011; 17: 189-191
- 19 Rahamimov N., Mulla H., Freiman S.. Cerebrospinal fluid leakage and pneumocephalus secondary to spine stab wounds. J Orthop Traumatol 2010; 11: 57-59